Bowel obstruction in patients with Alpers-Huttenlocher syndrome.

Abstract:

:Alpers-Huttenlocher syndrome (AHS) is a very rare autosomal recessive disorder. AHS is caused by homozygous or compound heterozygous mutations in the nuclear gene encoding mitochondrial DNA polymerase gamma (POLG, chromosome 15q25). Most patients become symptomatic before the age of 2 years. We report 3 patients who were treated in our clinic between 2007 and 2010. All patients suffered from myoclonic seizures and had at least one refractory convulsive status which led to the diagnosis. All of them had varying degrees of developmental delay, 2 of them additionally ataxia. Gastrointestinal motility problems were severe in all patients despite only mildly deranged liver function. While in most aspects our patients present with typical AHS features, they also share intestinal problems, a feature that has not been recognized as typical for AHS before. AHS is a multisystem disorder that does affect all cell systems. Liver and brain are organs with the highest energy demand and are therefore usually affected early in the disease course of AHS. However, constipation and bowel obstruction should be regarded as typical complications in AHS and patients should be monitored and treated to improve quality of life. Regarding treatment options for epilepsy in AHS ketogenic diet as well as lacosamide might be considered.

journal_name

Neuropediatrics

journal_title

Neuropediatrics

authors

Spiegler J,Stefanova I,Hellenbroich Y,Sperner J

doi

10.1055/s-0031-1287812

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

194-6

issue

5

eissn

0174-304X

issn

1439-1899

journal_volume

42

pub_type

杂志文章
  • The frequency of apnea and bradycardia in a population of healthy, normal infants.

    abstract::Twenty-four hour continuous pneumocardiogram recordings were obtained on 250 healthy, normal infants in a hospital nursery on the first to third days of life. 73% of the infants showed no apneic episodes greater than 15 seconds in duration. 5% demonstrated longest apneic episodes greater than 20 seconds in duration wi...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1059556

    authors: Stein IM,Fallon M,Merisalo RL,Kennedy JL Jr

    更新日期:1983-05-01 00:00:00

  • Cerebrovascular occlusive disease with and without the moyamoya vascular network in children.

    abstract::Clinical features of cerebrovascular occlusive disease with the moyamoya network (group 1: twenty-nine children) and those without this network (group 2: nine children) are reported herein. Group 1 was characterized by female preponderance, recurrent and transient ischemic attacks, progression of mental deterioration,...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052540

    authors: Kurokawa T,Chen YJ,Tomita S,Kishikawa T,Kitamura K

    更新日期:1985-02-01 00:00:00

  • The cytokine and chemokine profiles in rhabdomyolysis in a patient with Gaucher disease type II.

    abstract::This report describes a patient with Gaucher disease type II who developed severe rhabdomyolysis. We treated him successfully and measured various cytokine and chemokine levels sequentially to elucidate the pathophysiology of rhabdomyolysis. The serum levels of interleukin-6, -8, -10, granulocyte colony-stimulating fa...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0030-1253425

    authors: Wakusawa K,Haginoya K,Ishitobi M,Hino-Fukuyo N,Togashi N,Sato I,Ohura T,Yokoyama H,Kikuchi M,Iinuma K,Tsuchiya S

    更新日期:2010-02-01 00:00:00

  • Follow-up studies of children with fetal alcohol syndrome.

    abstract::Data coming from a prospective multidisciplinary study with repeated examinations of children with fetal alcohol syndrome (FAS) are reported. These patients underwent pediatric, neurological and psychiatric assessment, EEG-recordings and psychological testing. After a period of 3-4 years various subgroups of these chi...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052428

    authors: Spohr HL,Steinhausen HC

    更新日期:1987-02-01 00:00:00

  • Clinical and neuroradiological follow-up in mucopolysaccharidosis type III (Sanfilippo syndrome).

    abstract::Mucopolysaccharidosis type III (Sanfilippo syndrome) is an autosomal recessive disorder characterised by progressive nervous system involvement with mental retardation, behavioural problems and seizures. Three patients, of 20 months to 12 years of age, were followed up for 3 years both clinically and by using brain ma...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2007-973503

    authors: Barone R,Nigro F,Triulzi F,Musumeci S,Fiumara A,Pavone L

    更新日期:1999-10-01 00:00:00

  • Effect of l-Arginine in One Patient with Peroxisome Biogenesis Disorder due to PEX12 Deficiency.

    abstract::Peroxisome biogenesis disorders (PBD) are a heterogeneous group of disorders due to PEX genes mutations, with a broad clinical spectrum comprising severe neonatal disease to mild presentation. Recently, Berendse et al reported an improvement of peroxisomal functions with l-arginine supplementation in fibroblasts with ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0036-1578798

    authors: Sorlin A,Briand G,Cheillan D,Wiedemann A,Montaut-Verient B,Schmitt E,Feillet F

    更新日期:2016-06-01 00:00:00

  • Unilateral dilation of virchow-robin spaces in early childhood.

    abstract::Observations of extreme unilateral widening of Virchow-Robin spaces (VRS) are rare and hitherto confined to adult, mainly old-aged patients. Magnetic resonance imaging (MRI) was performed in two unrelated boys aged 3 years with developmental coordination disorders. In one of these patients, follow-up MRI and diffusion...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0029-1246158

    authors: Brockmann K,Gröschel S,Dreha-Kulaczewski S,Reinhardt K,Gärtner J,Dechent P

    更新日期:2009-10-01 00:00:00

  • Neonatal Seizures-Are We there Yet?

    abstract::Neonatal seizures are the most prevalent and distinctive sign of neurologic dysfunction in early life and pose an immense challenge for clinicians. Improvements in neonatal care have increased the survival rate of extremely premature infants, considerably changing the spectrum of underlying etiologies, and instigating...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1693149

    authors: Ramantani G,Schmitt B,Plecko B,Pressler RM,Wohlrab G,Klebermass-Schrehof K,Hagmann C,Pisani F,Boylan GB

    更新日期:2019-10-01 00:00:00

  • Combined D-2- and L-2-hydroxyglutaric aciduria with neonatal onset encephalopathy: a third biochemical variant of 2-hydroxyglutaric aciduria?

    abstract::Two distinct disorders with elevated urinary excretion of 2-hydroxyglutaric acid are known: L-2-hydroxyglutaric aciduria and D-2-hydroxyglutaric aciduria. This paper presents clinical and biochemical studies in three patients and unsuccessful prenatal diagnosis in one case with combined D-2- and L-2-hydroxyglutaric ac...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2000-7497

    authors: Muntau AC,Röschinger W,Merkenschlager A,van der Knaap MS,Jakobs C,Duran M,Hoffmann GF,Roscher AA

    更新日期:2000-06-01 00:00:00

  • Early Onset, Long Illness Duration, Epilepsy Type, and Polypharmacy Have an Adverse Effect on Psychosocial Outcome in Children with Epilepsy.

    abstract::Epilepsy is often associated with psychosocial comorbidity and this can be more disabling than the seizure activity. Still, these associated conditions are often underdiagnosed and therefore not sufficiently treated. We studied a large pediatric cohort of 371 patients with epilepsy to identify factors associated with ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0039-3399529

    authors: Valova V,Kochan A,Werry B,John R,Prager C,Schneider J,Kaindl AM

    更新日期:2020-04-01 00:00:00

  • Selective muscle involvement on magnetic resonance imaging in autosomal dominant Emery-Dreifuss muscular dystrophy.

    abstract:OBJECTIVE:The aim of this study was to evaluate the spectrum of muscle involvement on MRI in patients with autosomal dominant Emery-Dreifuss muscular dystrophy (EDMD2) due to mutations in the lamin A/C gene and to compare it to the pattern found in other conditions with similar phenotype. PATIENTS AND METHODS:Nine pat...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2002-23593

    authors: Mercuri E,Counsell S,Allsop J,Jungbluth H,Kinali M,Bonne G,Schwartz K,Bydder G,Dubowitz V,Muntoni F

    更新日期:2002-02-01 00:00:00

  • Mononeuritis multiplex in a child with cutaneous polyarteritis.

    abstract::A 14-year-old boy presented with a febrile illness associated with arthritis. Shortly later he developed mononeuritis multiplex. After certain typical skin lesions had developed after two months, the diagnosis cutaneous polyarteritis could be made. The diagnostic features of this benign disease, which may involve peri...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071307

    authors: Draaisma JM,Fiselier TJ,Mullaart RA

    更新日期:1992-02-01 00:00:00

  • A clinical neuropathological study of the fetal alcohol syndrome.

    abstract::Five patients with the clinical diagnosis of fetal alcohol syndrome (FAS) died at the ages of 8 and 4 months and 17, 4 and 2 days. Neuropathological examination revealed microencephalic brains in all cases, without morphological evidence of maturation delay. One of them showed agenesis of the corpus callosum and hypop...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1059578

    authors: Wisniewski K,Dambska M,Sher JH,Qazi Q

    更新日期:1983-11-01 00:00:00

  • Patterns of cerebral glucose metabolism using 18FDG and positron tomography in the neurologic investigation of the full term newborn infant.

    abstract::18F fluorodeoxyglucose (18FDG) and positron tomography (PT) were used in 20 full term babies with seizures or hypotonia to describe regional cerebral glucose metabolism. Among babies with seizures, birth asphyxia was the most common cause. PT was performed at age 6-17 days. One hour before PT, 18FDG (50-100 microCi/kg...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052419

    authors: Thorp PS,Levin SD,Garnett ES,Nahmias C,Firnau G,Toi A,Upton AR,Nobbs PT,Sinclair JC

    更新日期:1988-08-01 00:00:00

  • Central nervous system malformations and white matter changes in pseudo-neonatal adrenoleukodystrophy.

    abstract::Clinical, biochemical and morphological findings in a 16-month-old infant girl with pseudo-neonatal adrenoleukodystrophy are reported. The parents were first cousins and the baby was born at term, small for gestational age. The neonatal period was characterized by convulsions resistant to treatment, generalized, sever...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071495

    authors: Kyllerman M,Blomstrand S,Månsson JE,Conradi NG,Hindmarsh T

    更新日期:1990-11-01 00:00:00

  • Magnetic resonance imaging of progressive hydrosyringomyelia in two patients with meningomyelocele.

    abstract::Two patients who postoperatively developed extensive multiseptated hydrosyringomyelia following surgical repair of a lumbal meningomyelocele are reported. Since MRI has been available, an increasing number of reports showed that MRI is useful in the diagnosis of hydrosyringomyelia. Hydrosyringomyelia can be considered...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071358

    authors: van Hall MH,Beuls EA,Wilmink JT,Boiten J,Vles JS

    更新日期:1992-10-01 00:00:00

  • Response of kidney and bone to parathyroid hormone in children receiving anticonvulsant drugs.

    abstract::The response of kidney and bone to parathyroid extract (PTE) was investigated in 8 epileptic children on long-term treatment with primidone in combination with phenytoin or other anticonvulsant drugs. The results indicate a dissociation between normal and cyclic AMP excretion and disturbed renal handling of phosphate ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1059588

    authors: Kruse K,Kracht U,Göpfert G

    更新日期:1982-02-01 00:00:00

  • Ataxic cerebral palsy--clinico-radiologic correlations.

    abstract::Clinico-radiologic correlations, using CT, were studied in 29 patients with ataxic cerebral palsy. The scans were normal or only slightly abnormal in 38%, posterior fossa abnormalities occurred in 28%, and 55% had obvious cerebral abnormalities which always involved the parietal lobes. There were only two cases where ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071271

    authors: Miller G,Cala LA

    更新日期:1989-05-01 00:00:00

  • CT findings in neuronal ceroid lipofuscinoses.

    abstract::Forty patients suffering from neuronal ceroid lipofuscinosis, 33 of the juvenile type (JNCL) and 7 of the infantile type (INCL), underwent a brain CT. All INCL patients showed severe atrophic changes which were most pronounced supratentorially and in the brainstem. The white matter was hypodense and markedly reduced a...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071470

    authors: Raininko R,Santavuori P,Heiskala H,Sainio K,Palo J

    更新日期:1990-05-01 00:00:00

  • Ischemic stroke due to fibromuscular dysplasia.

    abstract::Fibromuscular dysplasia is a segmental, nonatheromatous angiopathy. A 13-year-old patient is reported with stroke. Left-sided carotid angiogram revealed typical findings of fibromuscular dysplasia in the left carotid artery. ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071288

    authors: Emparanza JI,Aldamiz-Echevarria L,Perez-Yarza E,Hernandez J,Peña B,Gaztañaga R

    更新日期:1989-08-01 00:00:00

  • Tonic Tics in Gilles de la Tourette Syndrome.

    abstract:AIM: Tonic tics (TTs) are a part of a clinical picture of Gilles de la Tourette syndrome (GTS) and manifest themselves as sustained and isometric contraction of a muscle group devoid of the movement effect or accompanied by only slight visible motion. The aim of this study was to evaluate the prevalence and phenomenolo...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1722689

    authors: Kaczyńska J,Janik P

    更新日期:2021-01-14 00:00:00

  • POLR3A and POLR3B Mutations in Unclassified Hypomyelination.

    abstract:OBJECTIVE:This study aims to ascertain frequency of mutations in POLR3A or POLR3B, which are associated with 4H leukodystrophy, in a cohort of patients with unclassified hypomyelination. METHODS AND RESULTS:In a cohort of 22 patients with the magnetic resonance imaging (MRI) diagnosis of unclassified hypomyelination a...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0035-1550148

    authors: Cayami FK,La Piana R,van Spaendonk RM,Nickel M,Bley A,Guerrero K,Tran LT,van der Knaap MS,Bernard G,Wolf NI

    更新日期:2015-06-01 00:00:00

  • The steroid treatment of hereditary motor and sensory neuropathy.

    abstract::A placebo or methylprednisolone (45-60 mg/M2) was administered in a crossover study as a single morning dose on alternate days to fourteen patients who had a familial progressive polyneuropathy that either began or was maximum in the distribution of the peroneal nerves. Neither the patients nor the examining physician...

    journal_title:Neuropediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2008-1052367

    authors: Prensky AL,Dodson WE

    更新日期:1984-10-01 00:00:00

  • Epileptic EEG discharges during burst suppression.

    abstract::Barbiturate anaesthesia is used in the treatment of status epilepticus and severe epilepsy of children. EEG is then used as a measure of the depth of anaesthesia, burst suppression being an easily identified EEG pattern. In this case report we describe epileptiform discharges during EEG suppression in two children und...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1073036

    authors: Jäntti V,Eriksson K,Hartikainen K,Baer GA

    更新日期:1994-10-01 00:00:00

  • Congenital cervical spinal atrophy: an intrauterine hypoxic insult.

    abstract::We present two patients with congenital cervical spinal atrophy who were born at 37 and 33 weeks of gestation. Both patients were unrelated and had no family history of neuromuscular diseases. They presented at birth with arthrogryposis multiplex and symmetrical severe muscle weakness and wasting confined to the upper...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2001-20410

    authors: Kaiboriboon K,Hayat GR

    更新日期:2001-12-01 00:00:00

  • The possible adjuvant role of bordetella pertussis and pertussis vaccine in causing severe encephalopathic illness: a presentation of three case histories.

    abstract::The clinical and some laboratory details of three children who had severe neurological sequelae after either infection with Bordetella pertussis or immunisation with diphtheria, tetanus and pertussis vaccine and oral polio vaccine are reported. Each of these patients had had a recent or concurrent viral illness. The s...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1059668

    authors: Cavanagh NP,Brett EM,Marshall WC,Wilson J

    更新日期:1981-11-01 00:00:00

  • The Clinical Picture of a Bilateral Perisylvian Syndrome as the Initial Symptom of Mega-Corpus-Callosum Syndrome due to a MAST1-Gene Mutation.

    abstract::Congenital bilateral perisylvian syndrome (CBPS) is a rare neurological disorder associated with typical clinical and imaging features such as bilateral symmetrical polymicrogyria, either exclusively or mainly affecting the perisylvian region of the brain. We present a girl with the typical clinical picture of a CBPS ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1710588

    authors: Hecher L,Johannsen J,Bierhals T,Buhk JH,Hempel M,Denecke J

    更新日期:2020-12-01 00:00:00

  • Dysphagia-gastroesophageal reflux complex: complications due to dysfunction of solitary tract nucleus-mediated vago-vagal reflex.

    abstract::We report on the complication of gastroesophageal reflux (GER) in four patients with lower brainstem dysfunction. These patients suffered from perinatal asphyxia, cerebellar hemorrhage, or congenital dysphagia of unknown origin and showed facial nerve palsy, inspiratory stridor due to vocal cord paralysis, central sle...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2006-924428

    authors: Saito Y,Kawashima Y,Kondo A,Chikumaru Y,Matsui A,Nagata I,Ohno K

    更新日期:2006-06-01 00:00:00

  • Visual functions in relation with neonatal cerebral ultrasound, neurology and cognitive development in very-low-birthweight children.

    abstract::In order to determine the relationship between visual functions and neonatal cerebral ultrasound, neurological examinations and cognitive development, a prospective longitudinal study was conducted in 69 high-risk very-low-birthweight children. Visual development was studied at 1 and 2.6 years of corrected age by asse...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071533

    authors: Weisglas-Kuperus N,Heersema DJ,Baerts W,Fetter WP,Smrkovsky M,van Hof-van Duin J,Sauer PJ

    更新日期:1993-06-01 00:00:00

  • Influenza a-associated acute necrotizing encephalopathy.

    abstract::Acute inflammatory processes of the brain tissue and meninges caused by viruses are relatively common and may be caused by a number of different viral agents. The specific etiological agent is not identified in many instances. Most cases completely recover. The prognosis depends upon the severity of the clinical illne...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2006-924164

    authors: Olgar S,Ertugrul T,Nisli K,Aydin K,Caliskan M

    更新日期:2006-06-01 00:00:00