The congenital variant of Rett syndrome: clinical description and the autonomic nervous system

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Abstract:
Introduction.ᅠRett syndrome (RTT) is a neurodevelopmental disorder, which is characterized by congenital variant early psychomotor retardation, hypotonia, abnormal EEG, typical absence of initial asymptomatic period.ᅠMaterials and methods.ᅠSample of 7 children with congenital variant of RTT afferite to “regional reference center of Rett Syndrome” Versilia Hospital and the University of Ferrara from 2006 to present.ᅠClinical data were collected and compiled the ‘”International Scoring System.”ᅠTo support the diagnosis, performed molecular analysis of the gene MECP2.ᅠIn 4 subjects performed the assessment of the autonomic nervous system with Neuroscope.ᅠResults.ᅠThe average age of the sample is 3 ? years.ᅠThe subjects are: normal head circumference at birth, followed by deceleration in most cases, non-specific developmental abnormalities early, severe cognitive impairment; stereotypes; auxological parameters above the 50th centile in 4 cases.ᅠThe electroencephalographic pattern in almost all show anomalies.ᅠThe degree of impairment is severe in 4 cases.ᅠThe phenotype cardiorespiratory most represented is “forced”.ᅠAll patients have mutations in MECP2.ᅠDiscussion.ᅠThe congenital variant was found in 5.8% of patients with RTT afferiti.ᅠA mutation of the MECP2 gene was identified in all cases.ᅠThis variant of RTT seems to be part of the classical form, but with earlier onset and more severe course.

PROJECT DETAILS 

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Country of research: Italy

Counry of funding source: Italy

Funding organization: National Research Council

Financing: NATIONAL FUNDINGS – 0 €

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