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Bilateral brain atrophy in a child with pyridoxine-dependent epilepsy

Bilateral brain atrophy in 3-year-old patient with pyridoxine-dependent epilepsy caused by an ALDH7A1 mutation. The patient had severe intellectual disability and global developmental delay. Seizure types without pyridoxine therapy included infantile spasms, generalized tonic-clonic seizures, focal seizures, and status epilepticus. (Source: Jiao X, Gong P, Niu Y, Zhang Y, Yang Z. A rare presentation characterized by epileptic spasms in ALDH7A1, pyridox[am]ine-5'-phosphate oxidase, and PLPBP deficiency. Front Genet 2022;13:804461. Creative Commons Attribution License [CC BY], creativecommons.org/licenses/by/4.0.)

Associated Disorders

  • Vitamin deficiency and toxicity