Abstract
Menkes' disease is a rare neurodegenerative disorder due to an intracellular defect of a cop- per transport protein. We describe a 7 months male patient who presented with seizures, hypoactivity and absence of visual contact. The investigation disclosed pilli torti and thrycorrexis nodosa in the hair, low serum levels of both copper and ceruloplasmin, brain magnetic resonance study showed atrophy and white matter hypointensities on T1-weighted images, electroencephalogram reveals moderate background activ- ity disorganization and epileptiform activity, and muscle biopsy with type 2 fiber atrophy. The clinical, lab- oratorial, genetic, muscle biopsy and neurophysiological findings in Menkes' disease are discussed.
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