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磷酸吡哆醇(胺)氧化酶缺乏症1例并文献复习

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回顾性分析2022-08-22陆军军医大学第一附属医院收治的1例磷酸吡哆醇(胺)氧化酶(PNPO)缺乏症患儿临床资料,并检索相关文献资料复习.患儿男,胎龄34周+4,生后未满24h出现难治性惊厥伴肌阵挛发作,脑电图表现为爆发抑制型,基因分析证实存在PNPO基因复合杂合变异:c.448_451 del父源、c.558_561 del母源.新生儿早期癫痫发作且常规抗癫痫治疗效果欠佳者,需警惕该病可能,确诊则依赖基因检测.
Pyridox(am)ine-5'-phosphate oxidase deficiency:A case report and literature review
The clinical data of a child with Pyridox(am)ine-5'-phosphate oxidase(PNPO)deficiency admitted to the First Affiliated Hospital of Army Medical University in August 2022 were retrospectively analyzed,and relevant literature was retrieved and reviewed.The child was a male with a gestational age of 34 weeks 4 days,and presented with refractory convulsion with myoclonic seizures in less than 24 hours after birth,with the electroencephalogram showing a violently inhibitory pattern,and the presence of a compound heterozygous variant of the PNPO gene was confirmed by genetic analysis:c.448_451del paternal origin and c.558_561del maternal origin.For early neonatal seizures with poor outcome on conventional antiepileptic therapy,the possibility of the disease should be considered,and confirmation of the diagnosis relies on genetic testing.

pyridox(am)ine-5'-phosphate oxidase deficiencypyridoxal-5'-phosphatePNPO geneintractable epilepsy

沈蕾蕾、万少友、陈盛

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陆军军医大学第一附属医院儿科,重庆 400038

磷酸吡哆醇(胺)氧化酶缺乏症 磷酸吡哆醛 PNPO基因 难治性癫痫

陆军军医大学优秀人才库重点扶持计划项目

XZ-2019-505-030

2024

中国实用儿科杂志
中国医师协会,中国实用医学杂志社

中国实用儿科杂志

CSTPCD北大核心
影响因子:1.314
ISSN:1005-2224
年,卷(期):2024.39(10)