Adams-Oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shunt

We report a case of a premature neonate girl with scalp and skull defects and brachydactyly of the feet consistent with an Adams-Oliver syndrome (AOS). The patient had central nervous system abnormalities, such as periventricular calcifications, hypoplastic corpus callosum, and bilateral hemispheric...

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Main Authors: Carlos Pérez-García, Yolanda Ruíz Martín, Alejandra Aguado del Hoyo, Carlos Marín Rodríguez, Minia Campos Domínguez
Format: Article
Language:English
Published: MDPI AG 2017-06-01
Series:Pediatric Reports
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/pr/article/view/7211
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author Carlos Pérez-García
Yolanda Ruíz Martín
Alejandra Aguado del Hoyo
Carlos Marín Rodríguez
Minia Campos Domínguez
author_facet Carlos Pérez-García
Yolanda Ruíz Martín
Alejandra Aguado del Hoyo
Carlos Marín Rodríguez
Minia Campos Domínguez
author_sort Carlos Pérez-García
collection DOAJ
description We report a case of a premature neonate girl with scalp and skull defects and brachydactyly of the feet consistent with an Adams-Oliver syndrome (AOS). The patient had central nervous system abnormalities, such as periventricular calcifications, hypoplastic corpus callosum, and bilateral hemispheric corticosubcortical hemorrhagic lesions. A muscular ventricular septal defect and a portosystemic shunt were diagnosed. To our knowledge, this is the first report of congenital supratentorial grey-white matter junction lesions without dural sinus thrombosis in association with AOS. Some of these lesions may be secondary to birth trauma (given the skull defect) whilst others have a watershed location, perhaps as further evidence of vascular disruption and decreased perfusion during critical periods of fetal brain development as the previously proposed pathogenesis of this syndrome.
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spelling doaj.art-8d6ce0d2baac4c619f1138f232dca3482022-12-21T22:57:51ZengMDPI AGPediatric Reports2036-749X2036-75032017-06-019210.4081/pr.2017.72113755Adams-Oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shuntCarlos Pérez-García0Yolanda Ruíz Martín1Alejandra Aguado del Hoyo2Carlos Marín Rodríguez3Minia Campos Domínguez4Department of Radiology, General University Hospital Gregorio Marañón, MadridDepartment of Pediatric Radiology, Mother and Child Hospital Gregorio Marañón, MadridDepartment of Pediatric Radiology, Mother and Child Hospital Gregorio Marañón, MadridDepartment of Pediatric Radiology, Mother and Child Hospital Gregorio Marañón, MadridDepartment of Pediatric Dermatology, Mother and Child Hospital Gregorio Marañón, MadridWe report a case of a premature neonate girl with scalp and skull defects and brachydactyly of the feet consistent with an Adams-Oliver syndrome (AOS). The patient had central nervous system abnormalities, such as periventricular calcifications, hypoplastic corpus callosum, and bilateral hemispheric corticosubcortical hemorrhagic lesions. A muscular ventricular septal defect and a portosystemic shunt were diagnosed. To our knowledge, this is the first report of congenital supratentorial grey-white matter junction lesions without dural sinus thrombosis in association with AOS. Some of these lesions may be secondary to birth trauma (given the skull defect) whilst others have a watershed location, perhaps as further evidence of vascular disruption and decreased perfusion during critical periods of fetal brain development as the previously proposed pathogenesis of this syndrome.http://www.pagepress.org/journals/index.php/pr/article/view/7211Adams-Oliver SyndromePeriventricular calcificationsPortosystemic-shuntPediatric Neuroradiology
spellingShingle Carlos Pérez-García
Yolanda Ruíz Martín
Alejandra Aguado del Hoyo
Carlos Marín Rodríguez
Minia Campos Domínguez
Adams-Oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shunt
Pediatric Reports
Adams-Oliver Syndrome
Periventricular calcifications
Portosystemic-shunt
Pediatric Neuroradiology
title Adams-Oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shunt
title_full Adams-Oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shunt
title_fullStr Adams-Oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shunt
title_full_unstemmed Adams-Oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shunt
title_short Adams-Oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shunt
title_sort adams oliver syndrome with unusual central nervous system findings and an extrahepatic portosystemic shunt
topic Adams-Oliver Syndrome
Periventricular calcifications
Portosystemic-shunt
Pediatric Neuroradiology
url http://www.pagepress.org/journals/index.php/pr/article/view/7211
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