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Features of neurosurgical tactics in a child with type 1 GM1 gangliosidosis (clinical case)

https://doi.org/10.56618/20712693_2022_14_3_110

Abstract

ABSTRACT

Gangliosidoses are a heterogeneous group of genetically determined metabolic diseases resulting from the insufficiency of the beta-galactosidase enzyme, which leads to the accumulation of GM1-ganglioside and its metabolites in cells. The more the enzyme activity is reduced, the more severe the course and early onset of GM1 gangliosidosis. Depending on the age of the debut, there are three clinical forms of the disease. The most common is GM1-gangliosidosis type 1 — the disease manifests in the first 6 months of life, has a progressive course and an unfavorable prognosis. The main clinical manifestations of the disease are facial and skeletal anomalies, diffuse muscular hypotension, hepatosplenomegaly, cherryred macular spot (a symptom of a “cherry stone” on the fundus), pronounced delay in psychomotor development. The article describes a patient with severe GM1-gangliosidosis type 1, with typical clinical manifestations, including craniosynostosis and hydrocephalus.

About the Authors

L. M. Shugareva
Children’s City Multidisciplinary Clinical Specialized Center of High Medical Technologies; Federal State Budgetary Educational Institution of Higher Education “North-Western State Medical University named after I.I. Mechnikov”
Russian Federation

Liudmila Sсhugareva

St. Petersburg



O. V. Poteshkina
Children’s City Multidisciplinary Clinical Specialized Center of High Medical Technologies; Federal State Budgetary Educational Institution of Higher Education “North-Western State Medical University named after I.I. Mechnikov”
Russian Federation

Oksana Poteshkina

St. Petersburg



V. D. Petrova
Children’s City Multidisciplinary Clinical Specialized Center of High Medical Technologies
Russian Federation

Valeria Petrova

St. Petersburg



A. Y. Alibekkadiev
Children’s City Multidisciplinary Clinical Specialized Center of High Medical Technologies
Russian Federation

Alibekkadiev Alibekkadi

St. Petersburg



S. A. Sotnikov
Children’s City Multidisciplinary Clinical Specialized Center of High Medical Technologies
Russian Federation

Semen Sotnikov

St. Petersburg



E. Y. Kryukov
Children’s City Multidisciplinary Clinical Specialized Center of High Medical Technologies; Federal State Budgetary Educational Institution of Higher Education “North-Western State Medical University named after I.I. Mechnikov”
Russian Federation

Evgeny Krukov

St. Petersburg



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Review

For citations:


Shugareva L.M., Poteshkina O.V., Petrova V.D., Alibekkadiev A.Y., Sotnikov S.A., Kryukov E.Y. Features of neurosurgical tactics in a child with type 1 GM1 gangliosidosis (clinical case). Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(1):139-144. (In Russ.) https://doi.org/10.56618/20712693_2022_14_3_110

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ISSN 2071-2693 (Print)