Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Rett Syndrome: Treatment with IGF-1, Melatonin, Blackcurrant Extracts, and Rehabilitation

Jesús Devesa
* ORCID logo ,
Olga Devesa
,
María Carrillo
,
Nerea Casteleiro
,
Ana Devesa
,
David Llorente
,
Cristina González
Version 1 : Received: 21 May 2018 / Approved: 22 May 2018 / Online: 22 May 2018 (11:25:58 CEST)

How to cite: Devesa, J.; Devesa, O.; Carrillo, M.; Casteleiro, N.; Devesa, A.; Llorente, D.; González, C. Rett Syndrome: Treatment with IGF-1, Melatonin, Blackcurrant Extracts, and Rehabilitation. Preprints 2018, 2018050300. https://doi.org/10.20944/preprints201805.0300.v1 Devesa, J.; Devesa, O.; Carrillo, M.; Casteleiro, N.; Devesa, A.; Llorente, D.; González, C. Rett Syndrome: Treatment with IGF-1, Melatonin, Blackcurrant Extracts, and Rehabilitation. Preprints 2018, 2018050300. https://doi.org/10.20944/preprints201805.0300.v1

Abstract

1) This study describes the good evolution of a 6-year-old girl genetically diagnosed with Rett syndrome (RTT), after having been treated with IGF-1, MT (MT), blackcurrant extracts (BC), and rehabilitation during 6 months. 2) The patient stopped her normal development from the first year of age. The patient showed low weight and height and met the main criteria for typical RTT. Curiously, there was pubic hair (Tanner II), very high plasma testosterone, despite low gonadotropins. No adrenal enzymatic deficits existed, and ultrasound abdominal studies were normal. Treatment consisted in IGF-1 (0.04 mg/kg/day, 5/week, sc) during 3-months and then 15-days resting, MT (50 mg/day, orally, uninterruptedly) and neurorehabilitation. The new blood tests were absolutely normal and the pubic hair disappeared. Then, a new treatment with IGF-1, MT, and BC started for another 3 months. After it, pubic Tanner stage increased to III, without a known cause. 3) The treatment followed led to clear improvements in most of the initial impairments, perhaps because of the effect of IGF-I, the antioxidant effects of MT and BC, and the increase in cyclic-glycine-proline (cGP) after BC administration. 4) A continuous treatment with IGF-1, MT and BC may recover most of the neurologic disabilities that occur in RTT.

Keywords

IGF-1; MT; Blackcurrant extracts; Oxidative stress; Mecp2; Speech therapy; Neurostimulation; cyclic glycine-proline; GPE.

Subject

Medicine and Pharmacology, Neuroscience and Neurology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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