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Bridging the gap: pyridoxine-dependent epilepsy (PDE-ALDH7A1) diagnosis and management in a low-resource setting
Andika Priamas Nugrahanto1, Agung Triono2, Neti Nurani3
1Division of Neurology, Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.
Insights
Pyridoxine-dependent epilepsy (PDE) is a rare genetic disorder. Early diagnosis and treatment are vital, especially in resource-limited areas, as shown by the first confirmed Indonesian case.
Area of Science:
- Neurology
- Metabolic Disorders
- Genetics
Background:
- Pyridoxine-dependent epilepsy (PDE) is a rare genetic metabolic disorder.
- Seizures in PDE are often refractory to standard treatments but respond to pyridoxine.
- Early diagnosis and treatment are critical for neurodevelopmental outcomes.
Abstract:
Pyridoxine-dependent epilepsy (PDE) is a rare genetic metabolic disorder characterized by seizures that are often resistant to conventional antiseizure medication but responsive to pyridoxine. Although its early diagnosis and treatment are crucial for achieving optimal neurodevelopmental outcomes, resource-limited settings often present considerable challenges in recognizing and managing this complex condition. This case report describes the diagnostic and management experience of the first genetically confirmed case of PDE in an Indonesian neonate, highlighting the critical need to improve access to specialized care and resources in this setting. Our data may provide valuable insights into the unique hurdles and potential solutions for managing PDE in similar settings.
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