Neurologic deterioration with progressive CT changes in a child with Kearns-Shy syndrome.

Abstract:

:A case of the rare juvenile form of Kearns-Shy syndrome with progressive external ophthalmoplegia and lid ptosis, carditis, skeletal muscle weakness, seizures, mental subnormality, short stature, EEG abnormality and deafness is presented. Electromyography revealed a myopathic pattern. Histochemical studies on quadriceps biopsy specimens showed atrophy of type II fibers and "ragged-red fibers." On electron microscopy these muscle cells were seen to contain an increased amount of glycogen particles and abnormal mitochondria were increased in number and size. It is of interest that abrupt deterioration of neurological findings such as seizures, mental subnormality, speech disturbance and deafness was present in our case. Computed tomographic scanning showed progressive changes of cerebral atrophy, low density of cerebral white matter and basal ganglia calcification, which were well associated with the clinical deterioration. A review of the literature also indicated that some patients with this syndrome showed abrupt neurological deterioration in childhood. Involvement of the central nervous system in this syndrome has to be considered as the cause of sudden deterioration and death in childhood.

journal_name

Brain Dev

journal_title

Brain & development

authors

Yoda S,Terauchi A,Kitahara F,Akabane T

doi

10.1016/s0387-7604(84)80046-7

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

323-7

issue

3

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(84)80046-7

journal_volume

6

pub_type

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