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Happy puppet syndrome (puppet children)


Happy Puppet Syndrome (Puppet Children)

General: Etiology unknown; very rare form of 454i89e infantile epilepsy.

Ocular: Optic atrophy; deficiency of choroidal pigment; lightly colored irides; Brushfield spots; retinal pigment epithelium abnormalities; heterotropia; blindness.

Clinical: Mental retardation; seizures; puppet-like ataxia; paroxysms of laughter; absent speech; microcephaly; horizontal occipital depression; brachycephaly; prognathism, abnormal electroencephalographic findings.

Angelman H. 'Puppet' children: a report on three cases. Dev Med Child Neurol 1965; 7:681-688.

Bower BD, Jeavons PM. The 'happy puppet' syndrome. Arch Dis Child 1967; 42:298-302.

Massey JY, Roy FH. Ocular manifestations of the happy puppet syndrome. J Pediatr Ophthalmol 1973; 10:282-284.




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