A Case of Rett Syndrome

  • Samuel Lazuardi Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Najib Advani Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Sofyan Ismael Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Keywords: Rett syndrome; psychomotor development; behavioural regression; social regression; psychomotor regression

Abstract

A case of Rett syndrome in a-3 ½ year-old girl is presented. The patient had normal pre and perinatal period and normal psychomotor development till the age of 14 months, followed by behavioural, social and psychomotor regression. Physical examination revealed a below normal head circumference, loss of eye and psychic contact, stereotypic hand movements and gait disturbance. No laboratory test can confirm the diagnosis of Rett syndrome, therefore the diagnosis was established by virtue of history of illness and clinical manifestations. This is the first case of Rett syndrome found and reported in Indonesia.

References

1. FOSS, I.; HAGBERG, B.; TRYGSTAD, O.: Chromatographic profiles at E 280 run for urinary precipitates in morbus Rett. Brain & Development 7: 345-348 (1985).
2. HAGBERG, B.; AICARDI, J.; DIAS, K.; RAMOS, 0.: A progressive syndrome of autism, dementia, ataxia and loss of purposeful hand use in girls: Rett's syndrome: Report of 35 cases. An. Neurol. 14: 471-479 (1983).
3. HAGBERG, B.: Rett syndrome: Swedish approach to analysis of prevalence and cause. Brain & Development 7: 277-280 (1985).
4. HAGBERG, B.; GOTIERES, F.; HANEFELD, F.; RETT, A.; WILSON, J.: Rett syndrome: Criteria for inclusion and exclusion. Brain & Development 7: 372-373 (1985).
5. MISSLIWETZ, J.; DEPASTAS, G.: Forensic problems in Rett syndrome. Brain & Development 7: 326-328 (1985).
6. NOMURA, Y.; SEGAWA, M.; HIGURASHI, M.: Rett syndrome - An early catecholamine and indolamine deficient disorder? Brain & Development 7: 334-341 (1985).
7. RETT, A.: Ueber ien eigenartriges hirnatropisches syndrom bei hyperammoniamie in Kindesalter. Wien Med Wochenschr 116: 723-738 (1966) cited from Hagberg, B.; Aicardi, J.; Dias, K.; Ramos, 0.: A Progressive syndrome of autism, dementia, ataxia and loss of purposeful hand use in girls: Rett's syndrome: Report of 35 cases. Ann. Neurol. 14: 471-479 (1983).
8. RETT, A (1987): Personal communication.
9. RIEDERER, P.; BRUCKE, T.; SOFIC, M. et al.: Neurochemical aspect of the Rett syndrome. Brain & Development 7: 351-160 (1985).
Published
2018-08-16
How to Cite
1.
Lazuardi S, Advani N, Ismael S. A Case of Rett Syndrome. PI [Internet]. 16Aug.2018 [cited 26Apr.2024];29(11-12):241-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1951
Received 2018-08-16
Published 2018-08-16