Cerebellar symptoms heralding bilirubin encephalopathy in Crigler-Najjar syndrome.

Pediatr Neurol

Service de Pédiatrie, Hôpital Farhat-Hached, Sousse, Tunisia.

Published: September 2002

AI Article Synopsis

  • A 2-year-old girl with Crigler-Najjar syndrome type I exhibited severe cerebellar symptoms, which are unusual for her age group.
  • The symptoms indicated the presence of bilirubin encephalopathy, a condition related to high bilirubin levels that can affect neurological function.
  • Her condition improved gradually with phototherapy, highlighting that cerebellar symptoms might be an early sign of kernicterus in children with this syndrome.

Article Abstract

Children with Crigler-Najjar syndrome type I are at increased risk for neurologic deficits. Cerebellar symptoms are not prominent and appear in adolescent or adult patients with this syndrome. We report a 2-year-old female with Crigler-Najjar syndrome type I who presented severe cerebellar symptoms revealing bilirubin encephalopathy. The patient improved slowly with the duration of phototherapy. Cerebellar symptoms can be the initial manifestation of kernicterus in children with Crigler-Najjar syndrome type I.

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Source
http://dx.doi.org/10.1016/s0887-8994(02)00425-3DOI Listing

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