Structural focal temporal lobe seizures in a child with lipoproteinosis

Research output: Contribution to journalArticlepeer-review

Abstract

Background Lipoproteinosis is a rare autosomal recessive disorder caused by a mutation in a gene (ECM1) on chromosome 1q21. Alterations of membrane and vessels in the dermal-epidermal junction represent the pathologic background of the disease. Calcification in the temporal lobes and hippocampi are common and may be associated with epileptic seizures. Patient Description We describe a 7-year-old girl with lipoproteinosis who presented with hoarseness, typical skin lesions, and seizures. Results Video electroencephalography demonstrated focal temporal lobe seizures. Intelligence quotient was normal, but psychologic tests revealed depressed mood. Neuroimaging revealed bilateral mesial temporal lobe calcifications. Conclusions The report reveals that the temporal lobe calcifications and the consequent epileptic seizures can appear even very early. The psychological signs may reflect limbic system dysfunction.

Original languageEnglish
Pages (from-to)104-106
Number of pages3
JournalPediatric Neurology
Volume52
Issue number1
DOIs
Publication statusPublished - Jan 1 2015

Keywords

  • cutaneous and mucosal hyalinosis or Urbach-Wiethe syndrome
  • EEG
  • lipoproteinosis
  • temporal seizure

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Developmental Neuroscience
  • Neurology
  • Medicine(all)

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