生物丁酶缺乏呈现状态和小脑梗塞在婴儿:一个案例报告
Bibek Shrestha1,2,3, Vivek Karn1,2,3, Nisha Regmi1,2,3
1Maharajgunj Medical Campus, Tribhuvan University, Institute of Medicine, Kathmandu, Nepal.
Annals of medicine and surgery (2012)
|November 3, 2025
概括
生物丁酶缺乏症是一种罕见的代谢障碍,可以异常表现为婴儿和小脑梗塞. 早期遗传检测和生物素治疗对于改善神经系统结果至关重要.
科学领域:
- 生物化学 生物化学
- 遗传学 是一个遗传学.
- 儿科神经学 儿科神经学
背景情况:
- 生物丁酶缺乏症是一种罕见的自体逆向代谢障碍.
- 它可以模仿新生儿的其他神经疾病,提出诊断挑战.
- 不寻常的表现包括小脑梗塞和状态.
研究的目的:
- 报告一个不寻常的生物丁酶缺乏病例,在婴儿中表现为小脑梗塞和状态.
- 强调在婴儿发作与中风类发现的差异诊断中考虑生物丁酶缺乏的重要性.
- 突出早期遗传检测和向治疗的作用.
主要方法:
- 一个3个月大的男性的病例报告与血缘亲属关系.
- 临床表现包括发作,营养不良和昏迷.
- 神经成像 (揭示小脑梗塞和血管异常).
- 整体外基因组测序识别BTD基因中的同卵性变异.
主要成果:
- 患者出现了复发性发作和全球小脑梗塞.
- 整体外基因组测序证实了由于同卵性BTD基因变异的生物丁酶缺乏.
- 患者在抗药,生物素和微量营养素支持下表现出改善.
结论:
- 在患有 status epilepticus 和结构性大脑病变的婴儿中,应考虑生物丁酶缺乏症,特别是在血缘关系中.
- 早期基因查对于及时诊断和干预至关重要.
- 及时的代谢疗法,包括生物,可以预防严重的神经后果.
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