HIGHLIGHTS
- who: Nishiyama Kyoko from the An, year-old man with , deficiency was referred to the Department of Oral and Maxillofacial Surgery at Osaka University Dental Hospital with the chief complaint of mandibular regressionHe had epilepsy, intellectual disability, cerebellar ataxia, spastic paraplegia, and other symptoms associated with , deficiency and was undergoing ketogenic diet therapy. Habitual epilepsy, such as tonic-clonic convulsion of the face and extremities followed by frequent vomiting, was observed several times a year. There was overjet of , mm and overbite of , mm, indicating an overbite. The mandibular anterior teeth were in contact with the palate . . .
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