Childhood autism associated with neurological manifestations and corpus callosum hypoplasia: literature review and clinical cases

Aim. To consolidate literature data and to demonstrate rare hereditary neurogenetic syndromes with various neuropsychiatric manifestations and a corpus callosum (CC) structurally reduced in size.Material and methods. Full text data from scholarly journals were used for the review. Mental and neurolo...

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Main Authors: O. A. Komissarova, O. A. Milovanova, G. G. Avakyan, S. V. Bugriy
Format: Article
Language:Russian
Published: IRBIS LLC 2020-04-01
Series:Эпилепсия и пароксизмальные состояния
Subjects:
Online Access:https://www.epilepsia.su/jour/article/view/518
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author O. A. Komissarova
O. A. Milovanova
G. G. Avakyan
S. V. Bugriy
author_facet O. A. Komissarova
O. A. Milovanova
G. G. Avakyan
S. V. Bugriy
author_sort O. A. Komissarova
collection DOAJ
description Aim. To consolidate literature data and to demonstrate rare hereditary neurogenetic syndromes with various neuropsychiatric manifestations and a corpus callosum (CC) structurally reduced in size.Material and methods. Full text data from scholarly journals were used for the review. Mental and neurological disorders were studied in two examined patients with neurogenetic syndromes. A brain MRI showed that it was accompanied with CC hypoplasia. We conducted comprehensive analysis of anamnestic data as well as medical genetic, neurological, psychopathological, pathopsychological, laboratory, and instrumental examinations.Results. The presented observations testified to a burdened obstetric history, dysfunctional ante-, intra-, and postnatal periods. The first patient with the Wolf-Hirschhorn syndrome was diagnosed with atypical autism associated with severe mental retardation, lack of verbal means of communication, motor stereotypes, structural focal epilepsy, cerebral palsy (CP), severe systemic speech underdevelopment; the second patient with the Prader-Willi syndrome was diagnosed with organic autism associated with mild mental retardation, impaired social adaptation in combination with stereotyped actions, impaired visual-spatial coordination, and cerebral palsy. In the first case, MRI showed posterior CC hypoplasia; in the second case, MRI showed hypoplasia of the CC isthmus.Conclusion. The level of cognitive deficit was to some extent a value associated with the thickness of the posterior CC. Apparently, a higher degree of myelination of nerve fibers contributes to a higher rate of transmission of nerve impulses along nerve fibers stimulating neurons. The results can be considered preliminary; a larger study is needed.
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spelling doaj.art-a1473e69a9c340e692c08756e3d5f2802023-03-13T07:44:17ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882020-04-01121515810.17749/2077-8333.2020.12.1.51-58480Childhood autism associated with neurological manifestations and corpus callosum hypoplasia: literature review and clinical casesO. A. Komissarova0O. A. Milovanova1G. G. Avakyan2S. V. Bugriy3Moscow City Rehabilitation CenterRussian Medical Academy of Postgraduate EducationPirogov Russian National Research Medical UniversityRussian Medical Academy of Postgraduate EducationAim. To consolidate literature data and to demonstrate rare hereditary neurogenetic syndromes with various neuropsychiatric manifestations and a corpus callosum (CC) structurally reduced in size.Material and methods. Full text data from scholarly journals were used for the review. Mental and neurological disorders were studied in two examined patients with neurogenetic syndromes. A brain MRI showed that it was accompanied with CC hypoplasia. We conducted comprehensive analysis of anamnestic data as well as medical genetic, neurological, psychopathological, pathopsychological, laboratory, and instrumental examinations.Results. The presented observations testified to a burdened obstetric history, dysfunctional ante-, intra-, and postnatal periods. The first patient with the Wolf-Hirschhorn syndrome was diagnosed with atypical autism associated with severe mental retardation, lack of verbal means of communication, motor stereotypes, structural focal epilepsy, cerebral palsy (CP), severe systemic speech underdevelopment; the second patient with the Prader-Willi syndrome was diagnosed with organic autism associated with mild mental retardation, impaired social adaptation in combination with stereotyped actions, impaired visual-spatial coordination, and cerebral palsy. In the first case, MRI showed posterior CC hypoplasia; in the second case, MRI showed hypoplasia of the CC isthmus.Conclusion. The level of cognitive deficit was to some extent a value associated with the thickness of the posterior CC. Apparently, a higher degree of myelination of nerve fibers contributes to a higher rate of transmission of nerve impulses along nerve fibers stimulating neurons. The results can be considered preliminary; a larger study is needed.https://www.epilepsia.su/jour/article/view/518childhood autismwolf-hirschhorn syndromeprader-willi syndromecerebral palsycorpus callosum hypoplasiastructural focal epilepsy
spellingShingle O. A. Komissarova
O. A. Milovanova
G. G. Avakyan
S. V. Bugriy
Childhood autism associated with neurological manifestations and corpus callosum hypoplasia: literature review and clinical cases
Эпилепсия и пароксизмальные состояния
childhood autism
wolf-hirschhorn syndrome
prader-willi syndrome
cerebral palsy
corpus callosum hypoplasia
structural focal epilepsy
title Childhood autism associated with neurological manifestations and corpus callosum hypoplasia: literature review and clinical cases
title_full Childhood autism associated with neurological manifestations and corpus callosum hypoplasia: literature review and clinical cases
title_fullStr Childhood autism associated with neurological manifestations and corpus callosum hypoplasia: literature review and clinical cases
title_full_unstemmed Childhood autism associated with neurological manifestations and corpus callosum hypoplasia: literature review and clinical cases
title_short Childhood autism associated with neurological manifestations and corpus callosum hypoplasia: literature review and clinical cases
title_sort childhood autism associated with neurological manifestations and corpus callosum hypoplasia literature review and clinical cases
topic childhood autism
wolf-hirschhorn syndrome
prader-willi syndrome
cerebral palsy
corpus callosum hypoplasia
structural focal epilepsy
url https://www.epilepsia.su/jour/article/view/518
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AT oamilovanova childhoodautismassociatedwithneurologicalmanifestationsandcorpuscallosumhypoplasialiteraturereviewandclinicalcases
AT ggavakyan childhoodautismassociatedwithneurologicalmanifestationsandcorpuscallosumhypoplasialiteraturereviewandclinicalcases
AT svbugriy childhoodautismassociatedwithneurologicalmanifestationsandcorpuscallosumhypoplasialiteraturereviewandclinicalcases