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Related Experiment Videos

Disorders of neuronal migration: sonographic features.

J Q Trounce, D G Fagan, I D Young

    Developmental Medicine and Child Neurology
    |August 1, 1986
    PubMed
    Summary

    Cranial ultrasound can show features of neuronal migration disorders like lissencephaly and polymicrogyria in neonates. Caution is needed when diagnosing these disorders in premature infants and those with Down syndrome due to potential normalization of scans.

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    Area of Science:

    • Neurology
    • Neonatal Imaging
    • Developmental Neuroscience

    Background:

    • Neuronal migration disorders (NMDs) are a group of congenital abnormalities resulting from the disruption of nerve cell movement during fetal development.
    • Accurate diagnosis of NMDs is crucial for appropriate management and prognosis.
    • Cranial ultrasound is a common imaging modality used in neonates.

    Observation:

    • This study describes the cranial ultrasound findings in two neonates diagnosed with NMDs: lissencephaly and polymicrogyria associated with Pena-Shokeir syndrome type 1.
    • A third infant, born extremely prematurely with Down syndrome, presented with similar ultrasound features suggestive of NMDs.

    Findings:

    • The cranial ultrasound features observed in the neonates with confirmed NMDs were consistent with the known radiological manifestations of these conditions.

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  • Interestingly, the extremely premature infant with Down syndrome showed transient ultrasound findings that normalized by two weeks of age.
  • Implications:

    • The findings highlight the importance of considering gestational age and chromosomal abnormalities, such as Down syndrome, when interpreting cranial ultrasounds for suspected NMDs.
    • The transient nature of ultrasound findings in some extremely preterm infants and those with Down syndrome underscores the need for cautious diagnosis and potential follow-up imaging.
    • This study contributes to the understanding of the spectrum of cranial ultrasound appearances in neonatal neurological conditions.