Párraga Humberto C, Párraga Marianela I, Jensen Alicia R
Fourth Street Clinic, Springfield, Illinois 62703, USA.
Int J Psychiatry Med. 2003;33(1):107-13. doi: 10.2190/D4Y1-WNBX-HQW8-HDPL.
To report two children, with normal intelligence, referred for evaluation of complex cognitive, behavioral, and psychiatric problems, in which Agenesis of Corpus Callosum (ACC) was an incidental finding.
Case descriptions are used and a comprehensive differential diagnosis made with previous diagnoses of partial complex seizures (PCS), psychosis, anxiety, attention deficit hyperactivity disorder (ADHD), and behavior disorder.
Due to the presence of multiple biopsychosocial interactions a multimodal intervention including pharmacological, behavioral, psychotherapeutic, and social approaches was implemented, with good results.
These cases underscore the importance of conducting a comprehensive neuropsychiatric evaluation in children with severe behavior problems and other confusing symptoms. Since the incidence of ACC in behaviorally disturbed children, with normal intelligence, is unknown, physicians must accept that a reasonable degree of suspicion is warranted. Further studies are needed to facilitate physicians' awareness.
报告两名智力正常的儿童，他们因复杂的认知、行为和精神问题前来评估，胼胝体发育不全（ACC）是偶然发现。
采用病例描述，并与先前诊断的部分复杂性癫痫发作（PCS）、精神病、焦虑症、注意力缺陷多动障碍（ADHD）和行为障碍进行全面的鉴别诊断。
由于存在多种生物心理社会相互作用，实施了包括药物、行为、心理治疗和社会方法在内的多模式干预，效果良好。
这些病例强调了对有严重行为问题和其他混淆症状的儿童进行全面神经精神评估的重要性。由于智力正常的行为障碍儿童中ACC的发病率未知，医生必须承认有必要保持合理程度的怀疑。需要进一步研究以提高医生的认识。
