UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

MENTAL RETARDATION IN AN ADULT PATIENT WITH SECKEL SYNDROME AND VISUAL IMPAIRMENTS: A CASE REPORT

Type of Article

In the Section

Index UDK:

Abstract

The article presents a description of the clinical case of mental retardation associated with Seckel syndrome in an adult patient with visual impairments. Seckel syndrome is a rare autosomal recessive genetic disorder characterized by intrauterine growth retardation, microcephaly, short stature, distinctive craniofacial features due to the specific structure of the skull and nose ("bird-headed dwarfism"), and mental retardation. The clinical manifestations of the syndrome include a combination of neurological, ophthalmological, somatic, and skeletal anomalies. Visual impairments are uncommon but significantly limit social functioning.

The presented patient exhibited microcephaly, pronounced craniofacial features, and cryptorchidism. Ophthalmological pathology included amblyopia, myopic astigmatism, and optic nerve atrophy. Moderate social maladaptation was observed. A clinical and genetic examination confirmed the autosomal recessive nature of the disorder. The discussion emphasizes the challenges of differential diagnosis, the possibility of pathomorphosis of the clinical picture, and the importance of a multidisciplinary approach to the early detection of Seckel syndrome. Comprehensive rehabilitation measures are required to improve quality of life and reduce the level of disability, even in the presence of marked cognitive impairment.

 

Pages

References

  1. Seckel H. P. Bird-headed Dwarfs: Studies in developmental anthropology including human proportions. Basel–New York: S. Karger; Springfield: C. C. Thomas, 1960. 179 p.
  2. Pekkola Pacheco N, Pettersson M, Lindstrand A, Grigelioniene G. Expanding the phenotype of Seckel syndrome associated with biallelic loss-of-function variants in CEP63. Am J Med Genet A. 2023;191(7):1929-1934. doi:https://doi.org/1002/ajmg.a.63200
  3. Faivre L., Le Merrer M, Lyonnet S, et al. Clinical and genetic heterogeneity of Seckel syndrome. Am J Med Genet. 2002;112(4):379-383. doi:https://doi.org/1002/ajmg.10677
  4. Cuccurullo C, Miele G, Piccolo G, et al. Hydranencephaly in CENPJ-related Seckel syndrome. Eur J Med Genet. 2022 Dec;65(12):104659. doi:https://doi.org/1016/j.ejmg.2022.104659
  5. Farcy S, Hachour H, Bahi-Buisson N, Passemard S. Genetic Primary Microcephalies: When Centrosome Dysfunction Dictates Brain and Body Size. Cells. 2023;12(13):1807. https://doi.org/10.3390/cells12131807
  6. Abohelwa M, Elmassry M, Iskandir M, Rogers B, Swaminath D. Seckel syndrome presenting with complete heart block. Proc (Bayl Univ Med Cent). 2021;34(3):405-406. Published 2021 Jan 28. doi: https://doi.org/10.1080/08998280.2020.1871265
  7. Donmez Y.N., Giray D., Epcacan S., Goktas E., Aypar E. Cardiovascular anomalies in Seckel syndrome: report of two patients and review of the literature. Cardiol Young. 2022;32(3):487-490. doi: https://doi.org/10.1017/S1047951121003097
  8. Monteiro A, Cortez GM, Granja MF, et Intracranial aneurysms in microcephalic primordial dwarfism: a systematic review. J Neurointerv Surg. 2021;13(2):171-176. doi: https://doi.org/10.1136/neurintsurg-2020-016069
  9. Khojah O, Alamoudi S, Aldawsari N, Babgi M, Lary A. Central nervous system vasculopathy and Seckel syndrome: case illustration and systematic review. Childs Nerv Syst. 2021;37(12):3847- 3860. doi: https://doi.org/10.1007/s00381-021-05284-8
  10. Fathizadeh A, Soltani K, Medenica M, Lorincz AL. Pigmentary changes in Seckel’s syndrome. J Am Acad Dermatol. 1979;1(1):52–54. doi: https://doi.org/10.1016/s0190-9622(79)70004-1
  11. Chanan-Khan A, Holkova B, Perle MA, et al. T-cell clonality and myelodysplasia without chromosomal fragility in a patient with features of Seckel syndrome. Haematologica. 2003;88(5):ECR14.
  12. Tatiya N, Kesri R, Ukey A. Seckel dwarfism — a rare autosomal recessive inherited syndrome: a case report. Int J Clin Pediatr Dent. 2024;17(2):211-215. doi: https://doi.org/10.5005/jp-journals-10005-2765
  13. Mudassir BU, Agha Z. Microcephaly, short stature, intellectual disability, speech absence and cataract are associated with novel bi-allelic missense variant in RTTN gene: a Seckel syndrome case report. Children (Basel). 2023;10(6):1027. Published 2023 Jun 8. doi: https://doi.org/10.3390/children10061027
  14. Pillai MR, Pallamparthy S, Gnanavelu S. Secondary childhood glaucoma — a rare association in  Seckel syndrome. European Eur J Ophthalmol. Published online November 23, 2021. doi: https://doi.org/10.1177/11206721211060949
  15. Guirgis MF, Lam BL, Howard CW. Ocular manifestations of Seckel syndrome. Am J Ophthalmol. 2001;132(4):596-597. doi: https://doi.org/10.1016/s0002-9394(01)01046-7
  16. Li N, Xu Y, Chen H, et al. Bi-allelic variants in CEP295 cause Seckel-like syndrome presenting with primary microcephaly, developmental delay, intellectual disability, short stature, craniofacial and digital abnormalities. EBioMedicine. 2024;99:104940. doi: https://doi.org/10.1016/j.ebiom.2023.104940