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小脑蚓部发育不全伴小脑半球融合、视隔发育不良及相关畸形。病例报告。

Agenesis of the vermis with fusion of the cerebellar hemispheres, septo-optic dysplasia and associated anomalies. Report of a case.

作者信息

Michaud J, Mizrahi E M, Urich H

出版信息

Acta Neuropathol. 1982;56(3):161-6. doi: 10.1007/BF00690631.

DOI:10.1007/BF00690631
PMID:7072487
Abstract

Agenesis of the cerebellar vermis with fusion of the dentate nuclei and cerebellar hemispheres (rhombencephalosynapsis) is a rare cerebral malformation. We report the case of a 7-h-old girl whose mother had taken the drug phencyclidine during the first 6 weeks of pregnancy. Absence of septum pellucidum, hypoplasia of the commissural system, optic nerves, chiasm and tracts, moderate hydrocephalus, and agenesis of the posterior lobe of the pituitary were also found. Extracranial congenital anomalies involved the cardiovascular, respiratory, urinary, and musculoskeletal systems. Death was secondary to severe respiratory distress and bradycardia. The literature concerning this rare form of cerebellar malformation is reviewed.

摘要

小脑蚓部发育不全伴齿状核与小脑半球融合(菱形脑联合)是一种罕见的脑畸形。我们报告了一名7小时大女孩的病例,其母亲在孕期前6周服用了苯环利定。还发现透明隔缺如、连合系统、视神经、视交叉和视束发育不全、中度脑积水以及垂体后叶发育不全。颅外先天性异常累及心血管、呼吸、泌尿和肌肉骨骼系统。死亡继发于严重的呼吸窘迫和心动过缓。本文对有关这种罕见小脑畸形形式的文献进行了综述。

相似文献

1
Agenesis of the vermis with fusion of the cerebellar hemispheres, septo-optic dysplasia and associated anomalies. Report of a case.小脑蚓部发育不全伴小脑半球融合、视隔发育不良及相关畸形。病例报告。
Acta Neuropathol. 1982;56(3):161-6. doi: 10.1007/BF00690631.
2
Septo-optic pituitary dysplasia. Observations on three patients.
Helv Paediatr Acta. 1984 Oct;39(4):355-64.
3
Septo-optic dysplasia in an infant of a diabetic mother.一位糖尿病母亲的婴儿患视隔发育不良。
Arch Neurol. 1981 Sep;38(9):590-1. doi: 10.1001/archneur.1981.00510090084012.
4
Septo-optic dysplasia with cerebellar hypoplasia in Cornelia de Lange syndrome.科妮莉亚·德·朗格综合征合并小脑发育不全的视隔发育不良
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Holoprosencephaly and septo-optic dysplasia.全前脑畸形和视隔发育不良。
Neuroimaging Clin N Am. 1994 May;4(2):263-81.
6
Diagnostic imaging and clinical findings in rhombencephalosynapsis: case report and literature review.菱形脑联合畸形的诊断性影像学检查及临床发现:病例报告与文献综述
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Septo-optic dysplasia as a manifestation of valproic acid embryopathy.
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8
Pituitary function in a patient with septo-optic dysplasia and pituitary dwarfism (Kaplan-Grumbach-Hoyt syndrome).
Eur J Pediatr. 1978 Aug 17;129(1):47-53. doi: 10.1007/BF00441373.
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Persistent hyperplastic primary vitreous associated with septo-optic-pituitary dysplasia and schizencephaly.
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Septo-optic Dysplasia Complex with Omphalocele, Pre-maxillary Agenesis and Encephalocele.伴有脐膨出、上颌骨发育不全和脑膨出的视隔发育不良综合征
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Array-CGH Analysis Suggests Genetic Heterogeneity in Rhombencephalosynapsis.阵列比较基因组杂交分析提示菱脑融合存在遗传异质性。
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Prenatal determinants of optic nerve hypoplasia: review of suggested correlates and future focus.

本文引用的文献

1
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Monatsschr Psychiatr Neurol. 1955 Apr;129(4):321-44.
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Congenital hydrocephalus with defective development of the cerebellar vermis (Dandy-Walker syndrome) clinical and anatomical findings in two cases with particular reference to the so-called atresia of the foramina of Magendie and Luschka.
产前因素致视神经发育不良:相关因素回顾及未来研究重点
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Triple falx cerebelli associated with two aberrant venous sinuses in the floor of posterior cranial fossa.小脑幕三联征伴后颅窝底部两个异常静脉窦。
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Rhombencephalosynapsis: a hindbrain malformation associated with incomplete separation of midbrain and forebrain, hydrocephalus and a broad spectrum of severity.菱形脑回融合畸形:一种与中脑和前脑不完全分离、脑积水以及广泛严重程度相关的后脑畸形。
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Atypical craniosynostosis with torticollis and neurological symptoms: a rhombencephalosynapsis sequence.伴有斜颈和神经症状的非典型颅缝早闭:一种菱脑融合序列征。
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A developmental and genetic classification for midbrain-hindbrain malformations.中脑-后脑畸形的发育和遗传分类。
Brain. 2009 Dec;132(Pt 12):3199-230. doi: 10.1093/brain/awp247.
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Fusion of the cerebellar hemispheres ventral to the brainstem: a rare hindbrain-related malformation.脑干腹侧小脑半球融合:一种罕见的后脑相关畸形。
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Identification of brain malformations: neuropathological approach.
Childs Nerv Syst. 2003 Aug;19(7-8):448-54. doi: 10.1007/s00381-003-0764-7. Epub 2003 Jun 11.
先天性脑积水伴小脑蚓部发育不全(丹迪-沃克综合征):两例临床及解剖学发现,特别提及所谓的马让迪孔和路施卡孔闭锁情况
J Neurol Neurosurg Psychiatry. 1959 May;22(2):99-108. doi: 10.1136/jnnp.22.2.99.
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[Studies on malformation of cranio-encephalic sutures. III. Agenesis of the septum lucidum with malformation of the optic tract].[颅缝畸形的研究。III. 透明隔缺如伴视束畸形]
Schweiz Arch Neurol Psychiatr. 1956;77(1-2):267-92.
5
Teratogenic potential of phencyclidine in the mouse.苯环利定对小鼠的致畸潜力。
Teratology. 1980 Apr;21(2):541-6. doi: 10.1002/tera.1420210214.
6
Optic nerve hypoplasia associated with absent septum pellucidum and hypopituitarism.
Am J Ophthalmol. 1980 Jan;89(1):113-20. doi: 10.1016/0002-9394(80)90237-8.
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Angel dust: possible effects on the fetus.
Pediatrics. 1980 Jan;65(1):18-20.
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Phencyclidine: effects of chronic administration in the female mouse on gestation, maternal behavior, and the neonates.
Psychopharmacology (Berl). 1980;69(1):63-7. doi: 10.1007/BF00426523.
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[Septo-optic dysplasia and growth hormone deficiency. De Morsier-syndrome (author's transl)].
Monatsschr Kinderheilkd (1902). 1980 Jan;128(1):50-2.
10
Quinine induced hypoplasia of the optic nerve.
Can J Ophthalmol. 1966 Oct;1(4):261-6.