Frontiers in Pediatrics (Jul 2022)

Case report: Fatal outcome of pyridoxine-dependent epilepsy presenting as respiratory distress followed by a circulatory collapse

  • Giulia Aquilano,
  • Agnes Linnér,
  • Agnes Linnér,
  • Sofia Ygberg,
  • Sofia Ygberg,
  • Sofia Ygberg,
  • Tommy Stödberg,
  • Tommy Stödberg,
  • Ewa Henckel,
  • Ewa Henckel

DOI
https://doi.org/10.3389/fped.2022.940103
Journal volume & issue
Vol. 10

Abstract

Read online

Pyridoxine-dependent epilepsy is a rare autosomal recessive disease usually associated with neonatal seizures that do not respond to common antiseizure medications but are controlled by pyridoxine administration. Because the symptoms can mimic common neonatal disorders, the diagnosis can be initially missed or delayed. We report a fatal case of a boy who was initially diagnosed with respiratory distress, birth asphyxia, and persistent pulmonary hypertension and whose condition rapidly deteriorated during the first day of life.

Keywords