Main clinical features
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marked muscular contraction of the facial muscles in response to tactile stimuli or during crying, with trismus and abundant salivation simulating a tetanic spasm
neck muscle hypertonia with a tendency to opisthotonos, facial anomalies such as large face, chubby cheeks, broad nose with anteverted nostrils, and long philtrum, and showed bilateral camptodactyly
marked feeding difficulties and appearance of variable fever at about 38 degrees centigrade, with peaks of irregular hyperthermia of over 42 degrees centigrade, with onset ranging from birth to a few weeks, generalized seizures and early death |