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[Clinical outcome of distinct Aicardi syndrome phenotypes]
M Galdós1, R Martínez, J M Prats
1Departamento de Oftalmología Pediátrica y Departamento de Neurología Pediátrica, Hospital de Cruces, Vizcaya, España. martagaldos@monteurquiola.com
Insights
Aicardi Syndrome, a rare genetic disorder, shows significant variability in symptoms and severity. Cortical migration abnormalities and retinal lesions can help predict patient outcomes.
Area of Science:
- Neurology
- Genetics
- Ophthalmology
Background:
- Aicardi Syndrome is a rare, female-restricted genetic disorder.
- It is characterized by agenesis of the corpus callosum, CNS malformations, and chorioretinal lacunae.
Observation:
- Three cases of Aicardi Syndrome were diagnosed and compared with existing literature.
- Phenotypic heterogeneity and clinical severity were detailed across the cases.
Findings:
- Case 1: Mild ocular morbidity, normal psychomotor development, no epilepsy or migration abnormalities.
- Case 2: Long-term survival with mild ocular issues, severe psychomotor retardation.
- Case 3: Severe, rapidly progressing ocular abnormalities, leading to early death.
Implications:
- Aicardi Syndrome exhibits significant phenotypic variability in clinical features, psychomotor development, and survival.
- Cortical migration abnormalities and retinal lesions may serve as valuable prognostic indicators for Aicardi Syndrome.
Objective:
Three cases of Aicardi Syndrome were diagnosed in our hospital. This syndrome is a rare, female-restricted genetic disease, characterized by agenesis of the corpus callosum, other central nervous system malformations, and chorioretinal lacunae. We have compared these cases with other cases of Aicardi Syndrome described in the world literature.
Methods:
We have reported the three cases of Aicardi Syndrome and detailed the important heterogeneity of phenotypic features and clinical severity.
Results:
The most benign case (case number 1) was characterized by mild ocular morbidity, absence of both migration abnormalities and epilepsy, and normal psychomotor development. Case number 2 achieved long-term survival with mild ocular alterations, but had severe retardation in psychomotor development. Case number 3 had the most severe ocular abnormalities which evolved rapidly and resulted in early death.
Conclusions:
Aicardi Syndrome can be phenotypically heterogeneous, presenting with substantial variability in the severity of clinical features such as psychomotor development and survival. Our study indicates that cortical migration abnormalities and retinal lesions may be useful prognostic factors.
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