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Long-term outcome of epilepsy in Kabuki syndrome.
[kabuki syndrome]
PURPOSES
AND
METHODS
:
Kabuki
syndrome
(
KS
)
is
a
rare
dysmorphic
disorder
characterized
by
multiple
congenital
anomalies
and
mental
retardation
.
Although
epilepsy
is
one
of
the
most
common
clinical
complications
associated
with
KS
,
few
studies
have
evaluated
its
electroclinical
aspects
and
long
-term
outcome
.
Therefore
,
we
describe
here
a
clinical
series
of
10
Caucasian
KS
patients
who
developed
epilepsy
in
childhood
.
We
followed
all
children
for
at
least
5
years
.
All
patients
presented
partial
seizures
and
interictal
EEGs
revealed
focal
epileptic
paroxysms
with
prevalent
involvement
of
temporo-
occipital
areas
.
Seven
children
had
no
central
nervous
system
abnormalities
,
but
enlargement
of
lateral
ventricles
,
corpus
callosum
hypoplasia
,
and
adenohypophysis
hypoplasia
were
revealed
in
three
.
Although
antiepileptic
drug
(
AED
)
treatment
was
effective
in
controlling
seizures
and
normalizing
EEG
abnormalities
in
8
patients
,
the
other
2
cases
were
resistant
to
multiple
AEDs
.
In
one
of
these
two
patients
,
withdrawal
of
AED
resulted
in
status
epilepticus
and
death
.
Partial
seizures
and
temporo-
occipital
abnormalities
on
interictal
EEG
are
common
features
of
KS
patients
who
suffer
from
epilepsy
.
Prognosis
of
this
epilepsy
is
favourable
in
the
majority
of
cases
with
complete
disappearance
of
seizures
and
EEG
abnormalities
.
Diseases
Validation
Diseases presenting
"epilepsy"
symptom
22q11.2 deletion syndrome
adrenomyeloneuropathy
alexander disease
canavan disease
classical phenylketonuria
cohen syndrome
cowden syndrome
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
homocystinuria without methylmalonic aciduria
kabuki syndrome
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neonatal adrenoleukodystrophy
pendred syndrome
phenylketonuria
proteus syndrome
pyruvate dehydrogenase deficiency
sneddon syndrome
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated