Abstract
Background
Rett syndrome is a neurodevelopmental disorder that occurs in individuals with a mutation
in the X-linked methyl-CpG-binding protein 2 (2MECP2) gene. 2MECP2 mutations produce a high degree of variability in the clinical phenotypes including
the classic Rett features of head growth deceleration, psychomotor regression, deviant
communicative ability, hand stereotypes, autonomic dysfunction, and seizures. Atypical
forms of Rett such as those with preserved speech do not follow these characteristics.
Patient
We report a 9-year-old girl with atypical Rett (macrocephaly, preserved speech, and
psychiatric manifestations) with a 2MECP2 (P152R) mutation that generally is not associated with these clinical signs.
Conclusion
This case broadens the genotype-phenotype correlation between the P152R mutation 2MECP2-associated Rett syndrome.
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References
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Article info
Publication history
Accepted:
December 31,
2012
Received:
October 10,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.