RETT SYNDROME (RTT) | |
RTT; AUTISM, DEMENTIA, ATAXIA, AND LOSS OF PURPOSEFUL HAND USE | |
312750
OMIM = Online Mendelian Inheritance of Men | |
778 | |
Methyl-CpG-binding protein 2 | |
Xq28 |
|
F84.2 | |
rare (1:10.000 - 1:15.000 females) X-linked dominant mutations of the X-linked MECP2 gene Rett syndrome is one of the most common causes of mental retardation in girls Most RTT cases are sporadic, familial cases are rare | |
Laboratory findings | Glutamic acid inc (cerebrospinal fluid) L-Lactic acid normal/inc (cerebrospinal fluid) Orotic acid inc (urine) Pyruvic acid inc (cerebrospinal fluid) Very-long-chain fatty acids dec (serum) |
Symptoms | Amino acid, spinal fluid apnea ataxia behavior, autism or autistic-like bone age, advanced cardiac arrhythmia, dysrhythmia constipation cortical or cerebral atrophy dystonia EEG abnormalities [-] female hand movements, abnormal, stereotyped hypertonia, spasticity lethargy, drowsiness, apathy mental retardation microcephaly (<2 SD for age) motor retardation normal at birth onset, childhood onset, infancy respiratory alkalosis seizures short stature skoliosis, kyphoskoliosis speech development, delayed, abnormal tachypnea, hyperpnea, dyspnea, hyperventilation |