Phenotype #0000307135

Individual ID 00415338
Associated disease -
Phenotype details born from the fifth pregnancy, second childbirth, delivered by Caesarean section; birthweight: 3800 g; height: 53 cm; Apgar scores, 8 and 8 at 1 and 5 min respectively; no abnormalities in the neonatal period; up to 2.5 years developing according to age without delay of speech and motor development; 2.5y: against a background of trauma of little finger, girl stopped talking; gradually speech restored, but vocabulary decreased; 3y: first febrile seizure attack; significant deterioration in speech and communication, socially withdrawn; brain magnetic resonance imaging: diffuse lesions in the white matter and hypoplasia of the lower cerebellar vermis; 3.5y stereotypic movements appeared; valproic acid (antiepileptic drug); motor deterioration progressed: by the age of 5 stopped walking; Rett syndrome suggested; 5y8m: motor and mental deterioration, visual impairmentand stereotypies; normal physical development: weight: 20.5 kg and height: 111 cm; head: normal shape, head circumference: 50.5 cm (normal);skin: normal and clean; abdomen: soft, painless.; stool and micturition: normal; basic blood and urine tests: normal; no interest in environment, no play activity, absent orientation in space and time; speech and understanding of speech disturbed, used only sounds and syllables; stereotypic movements of hands and face, myoclonus in hands, legs and facial muscles; tactile stimulation enhances myoclonus; able to only hold her head, roll over, sit with periodic falls; ophthalmological evaluation: partial atrophy of optic nerves, nystagmus, retinitis pigmentosa and mixed astigmatism; electroencephalography: significant delay in the formation of cortical electrogenesis and poorly-structured epileptiform activity in the occipitalparietal-posterior temporal regions; magnetic resonance imaging: cortical atrophy, periventricular leukopathy of both hemispheres of the brain and atrophy of the cerebellum; electrocardiography: severe sinus bradyarrhythmia; heart rate 48–84 beats per minu
Diagnosis/Initial Rett syndrome
Inheritance Familial, autosomal recessive
Diagnosis/Definite late infantile neuronal ceroid lipofuscinosis
Age/Examination 5y (5 years)
Age/Diagnosis -
Age/Onset -
Phenotype/Onset -
Protein -
Owner name LOVD
Database submission license Creative Commons Attribution 4.0 InternationalCreative Commons License
Created by Anna Tracewska
Date created 2022-08-12 13:10:09 +02:00 (CEST)
Date last edited N/A

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