Clinical Findings of Menkes Disease and the Treatment of Epilepsy.

Choi,  Min Hye; Kim,  Soojin; Bae,  Sun Whan; Son,  Jae Sung; Lee,  Ran

doi:2018.26.2.109

Ann Child Neurol > Volume 26(2); 2018 > Article

Case Report

Journal of the Korean Child Neurology Society 2018;26(2):109-112.
DOI: https://doi.org/10.26815/jkcns.2018.26.2.109 Published online June 30, 2018.

Clinical Findings of Menkes Disease and the Treatment of Epilepsy.

Min Hye Choi, Soojin Kim, Sun Whan Bae, Jae Sung Son, Ran Lee

¹Department of Pediatrics, Konkuk University Medical Center, Seoul, Korea.
²Department of Pediatrics, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. 20050069@kuh.ac.kr

Abstract

Menkes disease (also known as kinky hair disease) is an X-linked recessive neurodegenerative disorder caused by diverse mutations in a copper-transport gene, ATP7A. Affected patients are characterized by kinky hair, hypotonia, and generalized myoclonic seizures. Here, we report a case of Menkes disease in which the patient presented with progressive hypotonia and intractable seizures. A 4-month-old male infant visited our pediatric clinic for focal seizures with blinking eyes. He was generally hypotonic and suffered from malnutrition. The focal seizures became more frequent, and the patient became intractable to anti-seizure medications. An electroencephalogram (EEG) indicated diffuse cerebral dysfunction with focal seizure, and a brain magnetic resonance imaging (MRI) showed tortuous and ectatic intracranial arteries, as well as several ischemic lesions. A genetic analysis was performed, and a c.2473_2474del (p.Leu825fsX1) of the ATP7A gene was detected.

Key Words: Menkes kinky hair syndrome, ATP7A protein, Epilepsy