Inborn errors of metabolism are a heterogeneous class of multisystemic diseases which, although individually rare, are collectively quite common. Central nervous system is usually affected. The authors report the case of a five-month-old girl, daughter of non-consanguineous parents, born after an unremarkable full-term pregnancy and delivery. Hypotonia and neurodevelopmental regression were noted from the age o...
O acidente vascular cerebral é uma doença rara na infância (2,7 por 100 000 crianças por ano). A hiperhomocisteinemia é um fator de risco independente para a aterosclerose prematura, sendo habitualmente secundário a mutações na enzima metiltetrahidrofolato redutase ou défice de vitamina B12, na idade pediátrica. Descreve-se o caso clínico de um lactente de 10 meses, observado no serviço de urgência por queda da...
Intracranial hypertension is a rare entity in prepubertal children, and its differential diagnosis includes a number of systemic diseases, drugs, vitamin deficiencies and excesses, and hereditary conditions. Infectious aetiology is rare. The case of a 9-year-old boy with intracranial hypertension secondary to acute neuroborreliosis is described. He presented with daily pulsatile frontotemporal headache, pallor,...