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病例报告:1例合并中枢神经系统异常患者的诊断与治疗

Case Report: Diagnosis and treatment of with central nervous system anomalies in one patient.

作者信息

Li Yun, Hong Junbin, Xu Shangge, Zhou Tong, Xiao Xiaolan, Yang Jinghua, Chen Yiting

机构信息

Department of Pediatrics, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Front Pediatr. 2025 Jan 15;12:1490816. doi: 10.3389/fped.2024.1490816. eCollection 2024.

Abstract

INTRODUCTION

This article reports a detailed case of a patient with who exhibited epileptic status and dermatologic symptoms.

CASE PRESENTATION

A 5-month-old female patient was brought to our hospital due to status epilepticus, with erythematous vesicular skin lesions on her trunk and extremities. Routine magnetic resonance imaging revealed infarction, ischemia, and encephalomalacia. Skin biopsy pathology indicated pigmentation disorder. Molecular genetic testing was conducted to identify IKBKG mutations, and the case was finally diagnosed with complicated by central nervous system anomalies. She was treated with oral levetiracetam (10 mg/kg/day, administered every 12 h) to control her recurrent seizures, and prednisone (1 mg/kg/day, once a day) for anti-inflammatory effects.

CONCLUSION

After nine months, her skin lesions have resolved, with only a few newly developed erythematous papules and areas of hyperpigmentation being evident. There were no recurrent epilepsy symptoms, developmental impairments, or other associated symptoms.

摘要

引言

本文报告了一例表现出癫痫持续状态和皮肤症状的患者的详细病例。

病例介绍

一名5个月大的女性患者因癫痫持续状态被送至我院,其躯干和四肢出现红斑水疱性皮肤病变。常规磁共振成像显示梗死、缺血和脑软化。皮肤活检病理显示色素沉着障碍。进行了分子基因检测以鉴定IKBKG突变,最终该病例被诊断为合并中枢神经系统异常。给予口服左乙拉西坦(10mg/kg/天,每12小时给药一次)以控制其反复癫痫发作,并给予泼尼松(1mg/kg/天,每日一次)以发挥抗炎作用。

结论

九个月后,她的皮肤病变已消退,仅可见少数新出现的红斑丘疹和色素沉着区域。没有癫痫复发症状、发育障碍或其他相关症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245d/11774900/63f14250d010/fped-12-1490816-g001.jpg

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