Montero Torres Jorge Ariel, Flores Escobar Bruno, Guzman Martinez Julian, Barrera Martínez Ricardo Alfonso, Hernández Cortez Frida Priscila
Departamento de Radiología e Imagen, Hospital de Especialidades, Centro Medico Nacional del Bajío, Instituto Mexicano del Seguro Social, León, Guanajuato, México.
Departamento de Pediatria, SSA Hospital de Especialidades Pediatricas, Tuxtla Gutierrez, Chiapas. Mexico.
Radiol Case Rep. 2024 Jul 18;19(10):4167-4172. doi: 10.1016/j.radcr.2024.06.065. eCollection 2024 Oct.
Joubert Syndrome, manifests in a spectrum of neurological symptoms. This case describes a 7-year-old girl with perinatal complications, and subsequent neurodevelopmental challenges. An MRI confirmed the diagnosis of Joubert syndrome, with the distinctive "molar tooth sign" being a key imaging characteristic. Approximately 25% of cases exhibit nephronophthisis, impacting kidney function, further complicating the clinical picture. Diagnosis relies on imaging and management necessitates a multidisciplinary approach, addressing symptoms and complications, with prognosis linked to the presence of organic disease. The case emphasizes the significance of a multidisciplinary strategy, including genetic counseling, and underscores the diverse manifestations of this syndrome. Prenatal identification through ultrasound and MRI plays a crucial role in diagnosing and treating this rare condition.
乔伯特综合征表现为一系列神经症状。本病例描述了一名7岁女孩,有围产期并发症及随后的神经发育挑战。磁共振成像(MRI)确诊为乔伯特综合征,其独特的“磨牙征”是关键的影像学特征。约25%的病例出现肾单位肾痨,影响肾功能,使临床情况更加复杂。诊断依靠影像学检查,治疗需要多学科方法,处理症状和并发症,预后与器质性疾病的存在有关。该病例强调了包括遗传咨询在内的多学科策略的重要性,并突出了该综合征的多样表现。通过超声和MRI进行产前识别在诊断和治疗这种罕见疾病中起着关键作用。