Nemaline myopathy with severe congenital manifestation
نویسندگان
چکیده
Case presentation: Full-term newborn with reduced fetal movements during pregnancy, elective cesarean section, first child of a non-consanguineous couple no family history neurological disease. Apgar 5–5, severe respiratory distress, cyanosis and cardiorespiratory arrest. He required cardiopulmonary resuscitation mechanical ventilation, persisting hypotonia. On examination, facial hypomimia carp mouth jaw drop, hypotonia, immobile in bed, weak exhaustible deep tendon reflexes, absence sucking reflex other primitive reflexes. Proximal strength limbs 1+ distal 2+. Arthrogryposis, myokymia tongue fasciculation absent. The exams showed normal CPK, mild asymmetric dilatation the lateral ventricles on MRI brain, echocardiogram moderate functional tricuspid regurgitation slight increase pulmonary pressure, patent ductus arteriosus left-right flow, foramen ovale. initial hypotheses were: SMA type 0, congenital myasthenia myopathy. neuromuscular diseases panel heterozygous pathogenic mutation ACTA1 gene that is associated nemaline myopathy autosomal recessive or dominant inheritance. This has curative treatment so far. patient was discharged home supportive care.
منابع مشابه
Severe congenital nemaline myopathy with primary pulmonary lymphangiectasia: unusual clinical presentation and review of the literature
INTRODUCTION Nemaline myopathy is a rare genetic muscle disorder defined by the presence of nemaline rods in the muscle fibre sarcoplasm. Congenital nemaline myopathy is the most serious form of the disease's spectrum. CASE PRESENTATION The affected newborn has no spontaneous movement, fractures at birth and respiratory insufficiency. The present case was a Thai male, floppy at birth with fra...
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ژورنال
عنوان ژورنال: Arquivos De Neuro-psiquiatria
سال: 2023
ISSN: ['1678-4227', '0004-282X']
DOI: https://doi.org/10.1055/s-0043-1774507