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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La acidemia propi&#243;nica es una alteraci&#243;n del metabolismo de los amino&#225;cidos de cadena ramificada&#44; la cadena lateral del colesterol y los &#225;cidos grasos de cadena impar que conduce a la acumulaci&#243;n de metabolitos &#225;cidos t&#243;xicos&#46; Las manifestaciones cl&#237;nicas suelen comenzar poco despu&#233;s del nacimiento&#44; aunque tambi&#233;n en etapas m&#225;s tard&#237;as&#46; Nuestro caso se trata de un ni&#241;o de 3 a&#241;os con un inicio anormal&#44; que a los 6 meses presentaba episodios de espasmos infantiles y un electroencefalograma hipsarr&#237;tmico&#46; Se le trat&#243; con vigabatrina&#46; A los 8 meses&#44; la imagen de resonancia magn&#233;tica mostraba un espacio subaracnoideo ensanchado&#44; t&#225;lamos&#44; globos p&#225;lidos y n&#250;cleo subtal&#225;mico con se&#241;al hiperintensa&#46; Los an&#225;lisis bioqu&#237;mico y gen&#233;tico confirmaron acidemia propi&#243;nica&#46; Se instaur&#243; tratamiento espec&#237;fico&#44; en la actualidad no recibe tratamiento antiepil&#233;ptico y su electroencefalograma es normal&#46; Este inicio de la acidemia propi&#243;nica es poco habitual y creemos que el tratamiento con vigabatrina protegi&#243; los ganglios basales de un da&#241;o excitot&#243;xico irreversible&#46;</p>"
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Notas clínicas
Espasmos infantiles como primera manifestación de la acidemia propiónica
Infantile spasms as the first manifestation of propionic acidemia
L. Aldamiz-Echevarría Azuara,
Autor para correspondencia
kaldamiz@hcru.osakidetza.net

Correspondencia: Dr. L. Aldámiz-Echevarría Azuara. Unidad de Metabolismo. Departamento de Pediatría. Hospital de Cruces. Pl. de Cruces, s/n. 48903 Barakaldo. Bilbao. España.
, J.M. Prats Viñasb, P. Sanjurjo Crespoa, J.A. Prieto Pereraa, M.ªT. Labayru Echeverríac
a División de Metabolismo y Genética. Hospital de Cruces. Barakaldo. Bilbao. España
b Unidad de Neuropediatría. Hospital de Cruces. Barakaldo. Bilbao. España
c Departamento Universitario de Pediatría. Hospital de Cruces. Barakaldo. Bilbao. España
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