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[单卵双胞胎患结节性硬化症合并癫痫——一种新的突变]

[Tuberous sclerosis with epilepsy in monozygotic twins--a new mutation].

作者信息

Zupancic V, Skarpa D, Sabol Z, Macolić V

机构信息

Klinika za djecje bolesti, Medicinski fakultet Sveucilista u Zagrebu.

出版信息

Lijec Vjesn. 1990 Nov-Dec;112(11-12):378-80.

PMID:2097470
Abstract

A 4.5-year-old female twins with tuberous sclerosis are presented. The main clinical manifestations were partial epileptic seizures with complex symptomatology. Repeated EEGs were normal in both twins, while CT scans revealed periventricular calcifications of the brain. The twins were assumed to be monozygotic, what was confirmed with laboratory findings: HLA, identical erythrocyte, enzymatic and protein antigens were found. Skin transplant exchange was not performed. Since both parents do not have any signs of tuberous sclerosis, in this case the disease which is otherwise inherited as an autosomal dominant trait most probably was due to a new mutation which had occurred.

摘要

本文报告了一对4.5岁患结节性硬化症的女性双胞胎。主要临床表现为伴有复杂症状的部分性癫痫发作。双胞胎的多次脑电图检查均正常,而脑部CT扫描显示脑室周围钙化。这对双胞胎被认为是单卵双胞胎,实验室检查结果证实了这一点:发现HLA、红细胞、酶和蛋白质抗原均相同。未进行皮肤移植交换。由于父母双方均无结节性硬化症的任何体征,在这种情况下,这种通常以常染色体显性特征遗传的疾病很可能是由于发生了新的突变。

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