Mowat-Wilson syndrome: neurological and molecular study in seven patients

Síndrome de Mowat-Wilson: estudo neurológico e molecular em sete pacientes

Objective

To present a seven-cases serie of Mowat-Wilson syndrome (MWS).

Method

All patients with positive mutation for the ZEB2 were evaluated by a geneticist and a neurologist, with clinical and laboratorial characterization.

Results

A peculiar facies and mental retardation were present in all patients. The Denver II scale showed intense delay in all aspects, especially fine motor and adaptive. Acquired microcephaly was observed in five patients. Only one patient did not present epilepsy. Epilepsy was focal and predominating in sleep, with status epilepticus in three patients. The initial seizure was associated with fever in most patients (4/6). The EEG showed epileptic focal activity (5/7). The imaging studies revealed total agenesis (4/7) and partial agenesis of the corpus callosum (1/7).

Conclusion

Physicians who care for patients with mental retardation and epilepsy should be aware of SMW.

Mowat-Wilson syndrome; epilepsy; corpus callosum agenesis; microcephaly; mental retardation