Presentation
We present the case of a monozygotic twin pregnancy in which both fetuses were identified as having trisomy 21 and partial agenesis of the corpus callosum. [ncbi.nlm.nih.gov]
Musculoskeletal
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Hip Dislocation
[…] skeletal system Behavioral abnormality Sleep disturbance Skin rash Bilateral sensorineural hearing impairment Cortical dysplasia Partial agenesis of the corpus callosum Congenital sensorineural hearing impairment Arachnoid cyst Cerebellar dysplasia Hip [mendelian.co]
Skin
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Ulcer
Tetrahydrobiopterin-responsive hyperphenylalaninemia/phenylketonuria Thiamine-responsive encephalopathy Thomsen and Becker disease Thyrotoxic periodic paralysis Tibial muscular dystrophy Toriello-Carey syndrome Transient neonatal myasthenia gravis Tremor-nystagmus-duodenal ulcer [se-atlas.de]
Eyes
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Small Palpebral Fissures
Dysmorphic features include macrocrania, frontal bossing, deep set eyes, small palpebral fissures, and a curved nose. Discordant features include Duane's syndrome Type II, an ectopic right ureter, and strabismus in the male. [nature.com]
Ears
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Normal Hearing
The parents have normal hearing, and brain magnetic resonance imaging showed no abnormalities. They are nonconsanguineous but from the same small village. [ncbi.nlm.nih.gov]
Psychiatrical
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Suggestibility
The coexistence of these multiple physical and brain abnormalities in a brother and sister suggests a new autosomal recessive syndrome with a slowly progressive course. [ncbi.nlm.nih.gov]
Here, the coexistence of these multiple unusual features and brain abnormalities in siblings suggests a syndrome, more extensive than previously described, with a slowly progressive course. [nature.com]
Face, Head & Neck
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Frontal Bossing
We describe a brother and sister with severe developmental delay, hypotonia, partial agenesis of the corpus callosum, pontine hypoplasia, focal white matter degenerative abnormalities, macrocrania, frontal bossing, deep-set eyes, and hypertelorism. [ncbi.nlm.nih.gov]
Dysmorphic features include macrocrania, frontal bossing, deep set eyes, small palpebral fissures, and a curved nose. Discordant features include Duane's syndrome Type II, an ectopic right ureter, and strabismus in the male. [nature.com]
bossing Short neck Hypertelorism Hearing impairment Sensorineural hearing impairment Malar flattening Hypoplasia of the corpus callosum Intellectual disability, severe Adrenal hypoplasia Chronic constipation Aphasia Narrow nasal bridge Lumbar hyperlordosis [mendelian.co]
Neurologic
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Headache
We report the case of an 18-years old young patient with no history who was admitted to the emergency department for generalized seizures and atypical headache, the onset of symptoms dated back to two months, neurological examination was normal. [semanticscholar.org]
Mild cases tend to involve headaches, seizures and speech problems which don\'t appear for years. [checkorphan.org]
In mild cases, symptoms (such as seizures, repetitive speech, and/or headaches) may not appear for years. [medicinenet.com]
In mild cases, symptoms such as seizures, repetitive speech, or headaches may not appear for years. [brainfoundation.org.au]
Older patients are usually diagnosed during tests for symptoms such as seizures, monotonous or repetitive speech, or headaches. In mild cases it may be overlooked due to lack of obvious symptoms during childhood. [rarediseases.org]
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Generalized Seizure
We report the case of an 18-years old young patient with no history who was admitted to the emergency department for generalized seizures and atypical headache, the onset of symptoms dated back to two months, neurological examination was normal. [semanticscholar.org]
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Myoclonic Jerking
We describe a patient who presented at our epilepsy-monitoring unit with myoclonic jerks, and was diagnosed with juvenile myoclonic epilepsy (JME). Imaging of his brain revealed partial agenesis of the corpus callosum (ACC). [ncbi.nlm.nih.gov]
Treatment
Treatment - Partial agenesis of corpus callosum There are currently no specific medical treatments for callosal disorders, but individuals with ACC and other callosal disorders may benefit from a range of developmental therapies, educational support, [checkorphan.org]
Services - Provides assessment and short-term treatment for children and teens with developmental delay or disability and challenging behaviors. [urmc.rochester.edu]
Is there any treatment? There is no standard course of treatment for ACC. Treatment usually involves management of symptoms and seizures if they occur. [my.clevelandclinic.org]
Treatments for Agenesis of the Corpus Callosum Currently, there are no treatments to restore the corpus callosum to normal. The main course of treatment for agenesis of the corpus callosum is to manage any complications that may arise. [childrensnational.org]
Treatment There is no standard course of treatment for ACC. Treatment usually involves management of symptoms such as hydrocephalus and seizures if they occur. Prognosis ACC does not cause death in the majority of patients. [brainfoundation.org.au]
Prognosis
Prognosis - Partial agenesis of corpus callosum Prognosis varies depending on the type of callosal abnormality and associated conditions or syndromes. [checkorphan.org]
MR findings avoid misdiagnosis with a medial interhemispheric cyst associated to corpus callosum agenesis in which the prognosis is unpredictable. [unboundmedicine.com]
What is the prognosis? Prognosis depends on the extent and severity of malformations. Intellectual impairment does not worsen. [my.clevelandclinic.org]
Treatment and prognosis The overall prognosis can be highly variable depending on the presence of other associated anomalies. High-quality MRI essentially eliminates differentials due to the exquisite imaging of the corpus callosum. [radiopaedia.org]
Prognosis Prognosis depends on the extent and severity of malformations. [ 11 ] It is not possible for the corpus callosum to regenerate or degenerate. [patient.info]
Etiology
• Many genetic alterations have been etiologically linked to agenesis of the corpus callosum, both as an isolated developmental event as well as in the context of a syndromic cluster. [medlink.com]
[…] modality, diffusion tensor imaging (DTI) can provide more detailed information that cannot be obtained by conventional MRI regarding the visualization and connectivity of white matter structures and anomalies, which can be helpful in the syndromic- and etiologic-based [emedicine.medscape.com]
Postnatal MRI scan Etiology: o Lipoma or interhemispheric cysts (preventing the progression of callosal axons as they are median structures) (7). o Late remodelling abnormality of callosal connections causing thinning of the corpus callosum may occur [fetalultrasound.com]
[…] malformation syndrome Spondylocostal dysostosis-hypospadias-intellectual disability syndrome Spondyloepiphyseal dysplasia tarda, Kohn type Spondyloepiphyseal dysplasia, Nishimura type Sporadic Creutzfeldt-Jakob disease Sporadic adult-onset ataxia of unknown etiology [se-atlas.de]
Epidemiology
Epidemiology It is one of the most frequent malformations in the brain with a reported incidence ranging between 0.5 and 70 in 10,000 births. [ 2 ] Pathogenesis Formation of the corpus callosum begins as early as six weeks of gestation, with the first [patient.info]
Prevention
Prevention - Partial agenesis of corpus callosum Not supplied. Diagnosis - Partial agenesis of corpus callosum Not supplied. [checkorphan.org]
In this setting, there are no prospective data concerning the development of these children, preventing any clear information to be delivered to parents. [clinicaltrials.gov]
[…] connects families who have children with the same birth defects Kids Health — doctor-approved health information about children from before birth through adolescence CDC - Birth Defects — Dept. of Health & Human Services, Centers for Disease Control and Prevention [fetus.ucsf.edu]
Postnatal MRI scan Etiology: o Lipoma or interhemispheric cysts (preventing the progression of callosal axons as they are median structures) (7). o Late remodelling abnormality of callosal connections causing thinning of the corpus callosum may occur [fetalultrasound.com]
Lifelong Considerations Care for children born with ACC focuses on preventing medical problems and maximizing the child’s abilities. [ohiofetalmedicine.org]