Leukoencephalopathy with anterior temporal cysts due to congenital CMV infection diagnosed retrospectively

Declan O'Rourke1, Lisa Bradley, Mary D King

  • 1Department of Pediatric Neurology, Children's University Hospital, Dublin 1, Ireland.

Insights

Congenital cytomegalovirus (CMV) infection can cause leukoencephalopathy with subcortical cysts. This rare cause was identified retrospectively in a 1-year-old girl with developmental delay and hearing loss.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Pediatrics

Background:

  • Leukoencephalopathy with subcortical cysts is a rare neuroimaging finding.
  • Congenital cytomegalovirus (CMV) infection is a common congenital infection with potential neurological sequelae.
  • The association between congenital CMV and leukoencephalopathy with subcortical cysts is infrequently reported.

Observation:

  • A 1-year-old girl presented with developmental delay and sensorineural hearing loss.
  • Brain MRI revealed abnormal white matter and temporal lobe cysts.
  • The patient's history was reviewed for potential causes of these findings.

Findings:

  • Congenital CMV infection was diagnosed retrospectively in the patient.
  • Diagnosis was confirmed through examination of a dried blood spot from newborn screening.
  • This case highlights congenital CMV as a potential cause of leukoencephalopathy with subcortical cysts.

Implications:

  • This case underscores the importance of considering congenital CMV in the differential diagnosis of leukoencephalopathy with subcortical cysts.
  • Early diagnosis of congenital CMV is crucial for timely intervention and management of neurological complications.
  • Further research may elucidate the specific mechanisms by which CMV causes these neuroimaging abnormalities.

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