发育医学电子杂志 2022, Vol. 10 Issue (4): 302-304 DOI: 10.3969/j.issn.2095-5340.2022.04.009
生长发育
病例报告
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以癫痫为主要临床表现的歌舞伎面谱综合征 1 例
李艳云 张珊
解放军总医院儿科医学部 解放军总医院第七医学中心儿科研究所 出生缺陷防控关键技术国家工程实验室 儿童器官功能衰竭北京市重点实验室, 北京 100700
Case report of Kabuki syndrome with epilepsy as the main clinical manifestation
Li Yanyun, Zhang Shan
张珊
摘要 患儿,男,4岁2个月,以“生长发育和运动智 力发育落后,反复抽搐”入院,患儿为孕1产1,足 月顺产,有抢救病史。新生儿期体健,但体质量增 长欠佳,13周时体质量为3.6 kg。患儿2~5个月时, 喂养困难,易呕吐。5~6个月会翻身,1岁2个月会 独走。走路不稳,不可双足跳。语言能力障碍,常 无故自拍耳朵,流涎较多,喜独自玩耍。患儿玩耍 时,无明显诱因出现抽搐,表现为双眼凝视,四肢 抖动,肢体僵硬,口周青紫,牙关紧闭,意识丧 失,持续时间为10 min左右。家族史:母亲舅舅家儿 子患有范科尼贫血,父亲婚前2年从事化工工作。体 格检查:患儿身高90.5 cm,体质量10.5 kg。患儿双 眼球内收,眼裂宽,眼睑闭合不全,耳前有小孔,双 手通贯掌,见图1。
关键词:
癫痫
歌舞伎综合征
基因筛查
基因突变
收稿日期: 2022-01-07
发布日期: 2022-07-31
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