J Korean Child Neurol Soc.  2018 Dec;26(4):276-279. 10.26815/jkcns.2018.26.4.276.

A Case of Klinefelter Syndrome with Refractory Seizure in Infant

Affiliations
  • 1Department of Pediatrics, Inha University School of Medicine, Incheon, Korea. ysped@inha.ac.kr

Abstract

Klinefelter syndrome a genetic disorder with various clinical manifestations. Neurological symptoms, such as seizures, are rarely reported with Klinefelter syndrome, and it response well to anti-epileptic drugs. A 5-month-old boy visited the Inha university hospital due to jerking movements and hiccups. The patient had been diagnosed with Klinefelter syndrome at birth and had a medical history of admission to the neonatal intensive care unit due to opisthotonus and ocular deviation at 26 days of age. The patient's serum testosterone level was decreased and his anti-Müllerian hormone level was increased. The brain image examination was normal and the electoencephalography and other blood test results showed no specific findings. However, after admission, the patient recurred generalized tonic-clonic-seizures recurred intermittently even after the administration of antiepileptic drugs. This paper reports a case of non-febrile seizures in a child with Klinefelter syndrome who presented with a refractory course.

Keyword

Klinefelter syndrome; Epilepsy; Infant; Child

MeSH Terms

Anticonvulsants
Brain
Child
Epilepsy
Hematologic Tests
Hiccup
Humans
Infant*
Infant, Newborn
Intensive Care, Neonatal
Klinefelter Syndrome*
Male
Parturition
Seizures*
Testosterone
Anticonvulsants
Testosterone
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