Sabatino G, Domizio S, Verrotti A, Ramenghi L A, Pelliccia P, Morgese G
Department of Neonatology, University of Chieti, Ospedale Pediatrico, Italy.
Childs Nerv Syst. 1994 Apr;10(3):195-7. doi: 10.1007/BF00301091.
The authors report a case of a newborn with severe encephalopathy and cerebral calcifications. The newborn was admitted to Neonatal Intensive Care Unit in Chieti at 2 days of age suffering from continuous generalized seizures. He was the child of healthy first-degree cousins. Cerebral ultrasonography showed bilateral ventricular dilatation and an intrathlamic hyperechoic image. Computed tomography and magnetic resonance imaging showed ventricular and corpus callosus hypoplasia, pachygyria, widespread delayed myelination areas, and basal nuclei and periventricular calcifications. All serum and urine analyses showed normal results. In particular, all demyelinizing metabolic diseases were excluded. Based upon these findings, we speculate that this infant may be suffering from fetal encephalopathy with cerebral calcifications.
作者报告了一例患有严重脑病和脑钙化的新生儿病例。该新生儿2日龄时因持续性全身性癫痫发作被收治于基耶蒂的新生儿重症监护病房。他是健康的一级表亲所生的孩子。脑部超声检查显示双侧脑室扩张以及丘脑内高回声图像。计算机断层扫描和磁共振成像显示脑室和胼胝体发育不全、巨脑回、广泛的髓鞘形成延迟区域以及基底核和脑室周围钙化。所有血清和尿液分析结果均正常。特别是,所有脱髓鞘代谢性疾病均被排除。基于这些发现,我们推测该婴儿可能患有伴有脑钙化的胎儿脑病。