Congenital bilateral perisylvian syndrome associated with congenital constriction band syndrome

Hideo Yamanouchi1, Takako Ota, George Imataka

  • 1Department of Pediatrics, Dokkyo University School of Medicine, Tochigi, Japan. yhideo@dokkyomed.ac.jp

Insights

This study presents a rare case of a boy with congenital bilateral perisylvian syndrome and congenital constriction band syndrome. Chronic abruptio placentae may explain the co-occurrence of these congenital disorders.

Area of Science:

  • Neurology
  • Genetics
  • Developmental Biology

Background:

  • Congenital bilateral perisylvian syndrome (CBPS) is a neurological disorder characterized by pseudobulbar palsy, intellectual disability, epilepsy, and polymicrogyria.
  • Congenital constriction band syndrome (CCBS) is a malformation involving digital constrictions and amputations, often attributed to amniotic band disruption.

Observation:

  • A 7-year-old boy presented with symptoms of both CBPS and CCBS.
  • The patient exhibited features of pseudobulbar palsy, mental retardation, epilepsy, and bilateral perisylvian polymicrogyria.
  • Digital anomalies consistent with CCBS were also noted.

Findings:

  • The co-occurrence of CBPS and CCBS in this patient suggests a potential shared etiology.
  • Chronic abruptio placentae is proposed as a unifying factor, potentially causing fetal circulatory disturbances leading to both conditions.

Implications:

  • This case highlights the possible link between placental complications and the development of complex congenital malformation syndromes.
  • Understanding this association could inform future research into the pathophysiology of these disorders.
  • Further investigation is warranted to explore the role of placental insufficiency in syndromic malformations.