Akiyama C, Suzuki H, Nonaka I
Department of Pediatrics, Ryokuseikai Seiikuen, Kodaira, Tokyo.
No To Hattatsu. 1991 Jul;23(4):395-9.
We report an 18-year-old female with facioscapulohumeral dystrophy (FSHD), who had sensorineural deafness, retinal vessel abnormality, mental retardation, and epilepsy. She had infantile spasms at 6 months of age. Muscle atrophy and weakness of facial muscles were first noticed at 3 years of age. From 10 years of age, she had rapidly progressive generalized muscle weakness especially of facial, neck and truncal muscles with marked lordosis. Although mental retardation is commonly complicated with FSHD, infantile spasms or epilepsy has never been reported. Not only mental retardation but epilepsy may be one of the central nervous system symptoms in a systemic disorder, FSHD.
我们报告一名18岁患有面肩肱型肌营养不良(FSHD)的女性,她患有感音神经性耳聋、视网膜血管异常、智力发育迟缓以及癫痫。她在6个月大时出现婴儿痉挛。3岁时首次注意到面部肌肉萎缩和无力。从10岁起,她出现快速进展的全身性肌无力,尤其是面部、颈部和躯干肌肉,伴有明显脊柱前凸。虽然智力发育迟缓通常与FSHD并发,但婴儿痉挛或癫痫从未有过报道。不仅智力发育迟缓,癫痫可能也是系统性疾病FSHD的中枢神经系统症状之一。