J Korean Child Neurol Soc.  2010 May;18(1):117-122.

A Case of Silver-Russell Syndrome Diagnosed in the Patient Admitted with Hypoglycemic Seizure

Affiliations
  • 1Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. pdsnoopy@yahoo.co.kr

Abstract

The Silver-Russell syndrome(SRS) is a clinically heterogeneous syndrome characterized by intrauterine and postnatal growth retardation with spared cranial growth, characteristic facial features, and body asymmetry. Although mild to moderate hypoglycemic symptoms occasionally appear in children with SRS especially those who are not fed frequently and regularly, hypoglycemic seizures rarely occur. We report a rare case of SRS which was diagnosed in a 4-year-old female who admitted with hypoglycemic seizure. The patient showed the characteristic features of SRS. Endocrinologic studies were normal except for partial growth hormone insufficiency. To prevent seizures and chronic neurologic deficits in children with SRS, the early recognition and appropriate management of hypoglycemia is critical.

Keyword

Silver-Russell syndrome; Hypoglycemia; Seizures

MeSH Terms

Child
Female
Growth Hormone
Humans
Hypoglycemia
Neurologic Manifestations
Preschool Child
Seizures
Silver-Russell Syndrome
Growth Hormone
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