Agenesis of the corpus callosum associated with spinal open neural tube defect

OBJECTIVE: To ascertain the incidence and clinical implications of agenesis of the corpus callosum (ACC) in spinal open neural tube defects (SONTD).

METHODS: All cases of SONTD registered at the Spina Bifida Clinic in King Khalid University Hospital, Riyadh, Saudi Arabia between 1995 and 2010 were retrospectively reviewed, and mid-sagittal MRI of the corpus callosum (CC) area was analyzed in each case. Neurodevelopmental outcome was classified as poor in children with seizures, severe neurodevelopmental impairment, or death.

RESULTS: Thirty-eight patients (45.8%) with ACC were identified among 83 cases with SONTD. Patients' age ranged between one and 16 years. Total ACC was found in 10 patients, partial ACC in 25, and in 3 patients, the CC was hypoplastic. Active hydrocephalus was an associated finding in 9 out of 10 patients with total ACC, 22 out of 25 with partial ACC, and in all patients with hypoplasia of the CC. Thirteen patients (34.2%) had normal intellectual function, whereas 24 patients presented with learning disability, epilepsy, or poor intellectual function; and one patient died of respiratory failure.

CONCLUSION: Agenesis of the corpus callosum is found in a significant portion of patients with SONTD. When associated with hydrocephalus, its presence affects neuro-developmental outcome.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:35 Suppl 1

Enthalten in:

Saudi medical journal - 35 Suppl 1(2014) vom: 28. Dez., Seite S57-63

Sprache:

Englisch

Beteiligte Personen:

Elgamal, Essam A [VerfasserIn]
Elwatidy, Sherif M [VerfasserIn]
Alhabib, Amro F [VerfasserIn]
Jamjoom, Zain B [VerfasserIn]
Murshid, Waleed R [VerfasserIn]
Hassan, Hamdy H [VerfasserIn]
Salih, Mustafa A [VerfasserIn]

Themen:

Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 22.10.2015

Date Revised 13.11.2018

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM244986401