首页|ADPRS基因相关应激诱发的儿童神经变性病伴共济失调和癫痫综合征1例

ADPRS基因相关应激诱发的儿童神经变性病伴共济失调和癫痫综合征1例

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报道ADPRS基因相关应激诱发的儿童神经变性病伴共济失调和癫痫综合征1例。患儿于反复上呼吸道感染后出现发作性共济失调,表现为步态不稳、走路姿势异常,且伴随共济失调发作次数增加出现运动能力及认知倒退。急性期予丙种球蛋白治疗可短暂改善患者的共济失调症状,激素治疗效果欠佳,患者长期预后不佳,最终因发作后急性昏迷死亡。该疾病目前无特异性治疗方案,癫痫发作后病情进展快、病死率高,远期预后差。
Stress-induced childhood-onset neurodegeneration with ataxia and seizures syndrome caused by ADPRS gene mutation:a case report
A case of stress-induced childhood-onset neurodegeneration with ataxia and seizures syndrome due to a compound heterozygous mutation in the ADPRS gene was reported.The child developed episodic ataxia after recurrent upper respiratory tract infections,manifested as unsteady gait,abnormal walking posture,and motor and cognitive regression as the number of episodes increased.Treatment with gammaglobulin in the acute phase transiently improved ataxia symptoms,and hormone therapy was ineffective,however the long-term prognosis was poor,and the patient eventually died due to postictal acute coma.There is no specific treatment for this disease,and the disease progresses rapidly after seizures,with a high mortality rate and poor long-term prognosis.

Unsteady gaitInfectionStressAtaxiaADPRS gene

龙莎莎、张敏、王艺

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国家儿童医学中心复旦大学附属儿科医院神经内科,上海 201102

步态不稳 感染 应激 发作性共济失调 ADPRS基因

2024

中华神经科杂志
中华医学会

中华神经科杂志

CSTPCD北大核心
影响因子:1.329
ISSN:1006-7876
年,卷(期):2024.57(12)