Trayectoria del Síndrome de Rett
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1.
凯尔·SM、瓦希·N、贾斯蒂斯·MJ。雷特综合征:一种具有代谢成分的神经系统疾病。打开 Biol [互联网]。 2018 年 [引用于 2023 年 2 月 19 日];8(2):170216。可从: https://royalsocietypublishing.org/doi/10.1098/rsob.170216

Rett 综合征是一种与 X 染色体(MECP2 基因)相关的神经发育障碍,通常会经历四个明确的临床阶段,标志着其发育轨迹:

  • 第一阶段(早期发作 – 6 至 18 个月): 发育轻微减慢,对玩耍失去兴趣,头部生长减慢。
  • 第二阶段(快速破坏 - 1 至 4 年): 语言和双手的自主使用能力迅速退化,出现特征性的手工刻板印象(洗手),清醒时易怒和呼吸系统疾病。
  • 第三阶段(伪静止 – 2 至 10 年): 运动症状的稳定。尽管目光接触(眼神交流)有所改善,但它突出显示了失用症、癫痫发作和进行性脊柱侧凸。
  • 第四阶段(晚期运动障碍 - 10 岁以上): 丧失活动能力或行走能力(如果存在)、僵硬、痉挛、肌肉萎缩和全身无力。认知和视觉交流功能通常在此阶段得以保留。