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1.
Indian J Pediatr ; 2004 Nov; 71(11): 1029-33
Artigo em Inglês | IMSEAR | ID: sea-81594

RESUMO

A 15-month-old female child presented with sudden onset cough and hyperventilation along with evidence of metabolic acidosis. She had past history of recurrent vomiting, episodes of abnormal posturing, difficulty in deglutition and regression of milestones since 12 months of age. CT scan of the brain revealed hypodense lesions in bilateral basal ganglia and on MRI there were T2 hyperintensities in bilateral lentiform nuclei, caudate nuclei, thalamus, red nuclei and dentate nuclei. Biochemical examination revealed persistently elevated serum lactate levels with high lactate/pyruvate ratio. Resuscitative measures were of no avail and the child succumbed to the illness on the second day of admission. Neuropathological examination at autopsy demonstrated marked spongiosis, focal necrosis, endothelial proliferation, reactive astrogliosis and extensive demyelination involving bilateral basal ganglia, midbrain and spinal cord which were typical of Leigh's sub acute necrotizing encephalomyelopathy.


Assuntos
Autopsia , Gânglios da Base/patologia , Biópsia por Agulha , Progressão da Doença , Evolução Fatal , Feminino , Humanos , Imuno-Histoquímica , Lactente , Doença de Leigh/diagnóstico , Imageamento por Ressonância Magnética , Medição de Risco , Índice de Gravidade de Doença
2.
Neurol India ; 2004 Jun; 52(2): 254-6
Artigo em Inglês | IMSEAR | ID: sea-121318

RESUMO

Congenital fiber type disproportion is a rare type of congenital myopathy which presents as hypotonia, delayed motor milestones and dysmorphic facies. During the past 2 years we received 449 muscle biopsies, of which 4 cases were diagnosed as congenital fiber type disproportion (CFTD). In addition to CFTD, one case also had centronuclear features. Three of them were females and one was a male child. Although rare, it should be considered in the differential diagnosis of childhood muscle diseases. Histochemical staining is necessary for the diagnosis of this entity.


Assuntos
Adolescente , Biópsia , Criança , Pré-Escolar , Diagnóstico Diferencial , Feminino , Histocitoquímica/métodos , Humanos , Masculino , Músculo Esquelético/metabolismo , Miopatias Congênitas Estruturais/metabolismo , Coloração e Rotulagem
3.
Indian J Pediatr ; 2004 Mar; 71(3): 277-8
Artigo em Inglês | IMSEAR | ID: sea-83364
4.
Neurol India ; 2003 Sep; 51(3): 417-9
Artigo em Inglês | IMSEAR | ID: sea-121540

RESUMO

We report a rare case of an infant with congenital muscular dystrophy who presented at birth with marked generalized hypotonia and normal mental development. Creatinine phosphokinase (CPK) level was markedly raised; however no white matter abnormalities were detected by brain imaging techniques. Immunohistochemical staining for merosin (laminin alpha 2) was negative, thereby confirming merosin-deficient congenital muscular dystrophy.


Assuntos
Feminino , Humanos , Lactente , Laminina/deficiência , Músculo Esquelético/metabolismo , Distrofias Musculares/congênito
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