Nieto-Barrera M
Sección de Neurología Pediátrica, Hospital Infantil Virgen del Rocío, Sevilla, España.
Rev Neurol. 1999;28(1):101-4.
Females with Rett syndrome (RS) are actually known to present with a more heterogenous pattern of phenotypes than originally considered.
This means that a number of clinical variants exist. These clinical variants are those patients who present some symptoms of the RS phenotype, but who show considerable variation in type and age of onset, severity of impairments and profile of clinical course. A correct delineation of atypical or variant RS cases is difficult but important. The following RS phenotype expressions are described: forme 'frustre' variant; early seizure type variant; late childhood regression variant; preserved speech variant; congenital RS.
A model for inclusion criteria to be used for diagnosing as variants in school age has been suggested. The different RS variants are reviewed briefly.
实际上,人们已知患有雷特综合征(RS)的女性表现出比最初认为的更为异质的表型模式。
这意味着存在多种临床变异型。这些临床变异型是指那些呈现出雷特综合征表型的一些症状,但在发病类型和年龄、损伤严重程度以及临床病程方面表现出相当大差异的患者。正确界定非典型或变异型雷特综合征病例既困难又重要。以下是对雷特综合征表型表达的描述:顿挫型变异型;早发型癫痫变异型;儿童晚期倒退变异型;语言保留变异型;先天性雷特综合征。
已提出一个用于在学龄期诊断为变异型的纳入标准模型。对不同的雷特综合征变异型进行了简要综述。