RESUMO
Deficiency of the pyruvate dehydrogenase complex E1-alpha subunit is a rare genetic disease with X-linked dominant inheritance. The clinical spectrum of the disease is extremely wide: from lethal forms in children of the first year of life with lactic acidosis to chronic neurological manifestations with structural changes in the central nervous system without increasing the level of lactate in the blood. The authors report a case of this disease in a preschool child and present the results of laboratory and instrumental studies. The importance of early diagnosis of the disease is emphasized.
Assuntos
Epilepsia , Transtornos dos Movimentos , Doença da Deficiência do Complexo de Piruvato Desidrogenase , Pré-Escolar , Epilepsia/complicações , Epilepsia/diagnóstico , Epilepsia/genética , Humanos , Lactatos , Transtornos dos Movimentos/diagnóstico , Transtornos dos Movimentos/genética , Mutação , Piruvato Desidrogenase (Lipoamida)/genética , Doença da Deficiência do Complexo de Piruvato Desidrogenase/complicações , Doença da Deficiência do Complexo de Piruvato Desidrogenase/diagnóstico , Doença da Deficiência do Complexo de Piruvato Desidrogenase/genéticaRESUMO
Twenty-six children with closed craniocerebral trauma (CCCT) of various severity were examined by recording short-latent stem-induced potentials in response to acoustic stimulation. Prognostical authenticity of the method in severe CCCT in children was established, which allowed reversible and irreversible disorders of brain them function to be distinguished. Studies in dynamics made it possible to follow the course of the pathological process and correct the applied therapy in time.