Aicardi Sendromlu Kardeşler: Olgu Sunumu
Aicardi sendromu infantil spazm, korpus kallozum agenezisi, koryoretinallakün başta olmak üzere oküler anormalliklerve motor mentalretardasyonla karakterize ciddi doğumsal bir sendromdur. Hastalığın tanısı klinik bulgular ile konulmaktadır. Elektroensefalografi, manyetik rezonans görüntüleme bulguları ve oftalmolojik muayene tanıda yardımcıdır. Aicardi sendromlu hastalarda genellikle ilk sorun nöbet ve motor-mental retardasyon olarak karşımıza çıkmaktadır. Bu çalışmada akraba evliliği sonucunda dünyaya gelen, motor-mental retardasyon, göz bulgularının, korpus kallozum hipoplazisi, interventriküler kistin izlendiği Aicardi sendromu tanısı alan iki kardeş olgu sunulmuştur.
Brothers with Aicardi Syndrome: Case Report
Aicardi's syndrome is a severe congenital syndrome characterized by infantile spasm, corpus callosum agenesis, ocular abnormalities, especially chorioretinal lacuna, and motor mental retardation. The diagnosis of the disease is made by clinical findings. Electroencephalography, magnetic resonance imaging findings and ophthalmologic examination are helpful in the diagnosis. The first problem in patients with Aicardi syndrome is seizure and motormental retardation. In this study, two siblings who were born as a result of consanguineous marriages and who were diagnosed Aicardi syndrome with mental-motor retardation, ocular abnormalities, corpus callosum hypoplasia and interventricular cyst were presented.
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- 1.Banerjee TK, Chattopadhyay A, Manglik AK, et all.
Aicardisyndrome: a report of fiveIndiancases.
NeurolIndia. 2006; 54: 91-93.
- 2. Aicardi J. Aicardisyndrome. Brain Dev. 2005; 27: 164-71.
- 3. Aicardi J. Aicardisyndrome: oldandnewfindings. Int
Pediatr. 1999; 14: 5-9.
- 4. Kroner BL, Preiss LR, Ardini MA, et all. New incidence,
prevalence, andsurvival of Aicardisyndromefrom 408
cases. J Child Neurol. 2008; 23: 531-5.
- 5. Aicardi J, Lefebvre J, Lerique-Koechlin A.A
newsyndrome: spasm in flexion, callosalagenesis,
ocularabnormalities.
ElectroencephalogrClinNeurophysiol. 1965; 19: 60910.
- 6. Crow YJ, Hayward BE, Parmar R, et all. Mutations in the
gene encodingthe 3'-5' DNA exonuclease TREX1
causeAicardi-Goutie`ressyndrome at the AGS1 locus.
NatGenet. 2006; 38: 917–20.
- 7. Crow YJ, Leitch A,Hayward BE, et all .Mutations in
genesencodingribonuclease H2 subunitscauseAicardiGoutie`ressyndromeandmimiccongenitalviralbraininfec
tion. NatGenet.2006; 38: 910– 16.
- 8.Aicardi J. Aicardi-Goutie`ressyndrome:
specialtypeearlyonsetencephalopathy. Eur J
PaediatrNeurol. 2002; 69: A1–A7.
- 9. D’Arrigo S, Riva D, Bulgheroni S, et all. Aicardi–
Goutie`ressyndrome: description of a lateonsetcase.
Dev Med Child Neurol. 2008; 50: 631–4.
- 10. Sutton VR, Hopkins BJ, Eble TN, et all.
Facialandphysicalfeatures of Aicardisyndrome:
infantstoteenagers. Am J MedGenet A. 2005; 138A: 254-
8.
- 11. Fruhman G, Eble TN, Gambhir N, et all.
Ophthalmologicfindings in Aicardisyndrome. J AAPOS.
2012; 16: 238-41.
- 12. Rosser TL, Acosta MT, Packer RJ. Aicardisyndrome:
spectrum of diseaseandlong-termprognosis in 77
females. Pediatr Neurol. 2002; 27: 343-6.
- 13. Grosso S, Lasorellab G, Russo A, et all.
Aicardisyndromewithfavorableoutcome:
casereportandreview. Brain Dev. 2007; 29: 443-6.