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Published on: July 21, 2013
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.
Abstract:
We report a 7-year-old boy with congenital bilateral perisylvian syndrome and congenital constriction band syndrome. The former is a congenital neurologic syndrome characterized by pseudobulbar palsy, mental retardation, epilepsy, and bilateral perisylvian polymicrogyria The latter is a malformative disorder with digital ring constrictions and amputations, probably caused by early amnion rupture resulting in entanglement of fetal parts by amniotic strands. We believe that the combination of these two malfornative disorders was not coincidental; instead, fetal circulatory disturbance related to chronic abruptio placentae could account for this combination.
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