Abstract:
BACKGROUND:Rett syndrome is a severe neurodevelopmental disorder that primarily affects females. Typical features include a loss of purposeful hand skills, development of hand stereotypies, loss of spoken language, gait abnormalities, and acquired microcephaly. However, Rett syndrome hasn't been recognized by clinical doctors at the early stage. So we need to find some special characters. CASE PRESENTATION:We reported a Chinese case of Rett syndrome, exhibiting continuous centrotemporal spikes in EEG with paroxysmal suppression by hand stereotypies (hand clapping). The child, female, 4 years old, presented with a significant regression in her spoken language skills, hand stereotypies (hand clapping and hand wringing), a wider based gait with difficulties in balance, repeated abnormal behaviors (bruxism and head banging). With her clinical-history, Rett syndrome was suspected and genetic testing with mutation in MECP2 confirmed the diagnosis. Her EEG showed slow acticity in background and revealed a specific feature that continuous centrotemporal spikes can be suppressed by the repeated hand clapping. And when the hand stopped, the spikes reoccured again. CONCLUSIONS:This unique EEG signature has rarely been reported, which will expand the spectrum of EEG abnormalities in Rett syndrome.
journal_name
BMC Neuroljournal_title
BMC neurologyauthors
Lv Y,Liu C,Shi M,Cui Ldoi
10.1186/s12883-016-0613-4subject
Has Abstractpub_date
2016-06-13 00:00:00pages
91issn
1471-2377pii
10.1186/s12883-016-0613-4journal_volume
16pub_type
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