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RETT SYNDROME (RTT)

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