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特纳综合征与神经认知障碍:综述与病例系列

Turner syndrome and neuropsychological abnormalities: a review and case series.

机构信息

Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.

Irmandade da Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brazil.

出版信息

Rev Paul Pediatr. 2024 Sep 9;43:e2023199. doi: 10.1590/1984-0462/2025/43/2023199. eCollection 2024.

Abstract

OBJECTIVE

The objective of this study was to establish the genotype-phenotype correlation between karyotype results and the neurological and psychiatric alterations presented in patients with Turner syndrome (TS).

METHODS

A retrospective study was conducted on the medical records of 10/140 patients with TS and neurophysiological abnormalities seen at a university hospital in southern Brazil. In addition, a literature review spanning the period from January 1, 2012 to January 1, 2023 was carried out using the PubMed and Virtual Health Library databases.

RESULTS

Our study showed a potential correlation between neurological and psychiatric alterations in patients with TS. These findings are in accordance with those described in literature such as a high prevalence of learning or intellectual disabilities. However, our sample found more seizure episodes than those reported in other studies.

CONCLUSIONS

The correlation established could be due to X chromosome dose-effect, as the review suggests that sex chromosome number and hormonal development can be associated with verbal, social, and cognitive skills or impairments.

摘要

目的

本研究旨在建立特纳综合征(TS)患者核型结果与神经精神改变之间的基因型-表型相关性。

方法

对巴西南部一所大学医院就诊的 10/140 例 TS 伴神经生理学异常患者的病历进行回顾性研究。此外,还对 2012 年 1 月 1 日至 2023 年 1 月 1 日期间的文献进行了检索,检索数据库包括 PubMed 和虚拟健康图书馆。

结果

本研究显示 TS 患者的神经精神改变之间存在潜在相关性。这些发现与文献中描述的情况一致,如学习或智力障碍的高患病率。然而,我们的样本发现癫痫发作的次数比其他研究报告的要多。

结论

建立的相关性可能是由于 X 染色体剂量效应所致,因为综述表明性染色体数量和激素发育可能与言语、社交和认知技能或障碍有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7661/11385741/69d44b26b902/1984-0462-rpp-43-e2023199-gf01.jpg

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