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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.
Abstract:
Leukoencephalopathy with subcortical cysts has been described in a variety of conditions. However, few reports have highlighted congenital CMV as a cause of this imaging finding. We report a 1-year-old girl with developmental delay and sensorineural hearing loss whose MRI brain showed abnormal white matter and temporal cysts. Congenital CMV infection was diagnosed retrospectively by examination of dried blood spot from the newborn screening card.
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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