低血糖脑病症与多系统器官功能障碍在一个婴儿与MEGD(H) EL综合征
Brianna Stein1, Rylee Simons2, Hanna Sahhar3
1Pediatrics, VCOM Carolinas, Spartanburg, USA.
Cureus
|December 29, 2025
概括
这份病例报告详细介绍了一种罕见的3甲基葡萄糖酸性尿病与婴儿耳聋-耳,肝病,脑病和李氏状综合征 (MEGD(H) EL) 诊断. 患者出现了严重的低血糖和神经症状,突出了该综合征.
科学领域:
- 儿科神经学 儿科神经学
- 代谢障碍 代谢障碍 代谢障碍
- 神经遗传学 神经遗传学
背景情况:
- 3-甲基谷酸性尿尿与聋-耳,肝病,脑病和李氏状综合征 (MEGD(H) EL) 是一种罕见的遗传疾病.
- 早期诊断和管理对于改善患者的治疗结果至关重要.
研究的目的:
- 在婴儿中报告MEGD(H) EL综合征的独特病例呈现.
- 突出这一罕见疾病的诊断挑战和临床特征.
主要方法:
- 一个八个月大的儿科病人的病例报告.
- 分析了临床表现,实验室检查 (代谢酸,肝功能测试,凝血概况,病毒PCR) 和神经成像 (MRI大脑).
主要成果:
- 患者表现为没有反应和严重的低血糖症.
- 实验室发现包括代谢酸化,肝酶升高,出血时间延长,以及对人类肠道病毒/犀利病毒和人类疹病毒6的阳性PCR.
- 大脑MRI揭示了基底,乳头和海马的双边对称扩散限制.
结论:
- MEGD(H) EL综合征可以表现为严重的代谢和神经障碍.
- 这一案例强调了考虑婴儿患有不明原因脑病变和低血糖症的罕见代谢障碍的重要性.
- 结合临床,生化和神经成像发现的综合诊断方法对于准确的诊断至关重要.
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