SONOGRAPHIC DIAGNOSIS OF SCHIZENCEPHALY IN A NEWBORN – CASE REPORT
Abstract:
Schizencephaly is a rare neuronal migration disorder with diverse etiology and prognosis,
occurring most often sporadically. Aim: report of a case of schizencephaly diagnosed using head
ultrasound (HUS) in a neonate. Materials and methods: Immediately after birth, unilateral
schizencephaly and agenesis of the septum pellucidum were accurately diagnosed in a newborn using
US. Results: During the HUS screening performed in newborns presenting various pathology, a complex
cerebral malformation – right sided, parietal, type I schizencephaly (closed lips), agenesis of the septum
pellucidum, and mild ventriculomegaly – was diagnosed, confirmed subsequently by computer
tomography in a newborn. No neurological symptoms were reported during the first 4 months of life.
After 4 months, increased cerebral irritability and left sided paralysis were noted. Despite physiotherapy
only improvement of the behaviour was observed. Conclusion: Head ultrasonography, performed with
modern equipment, allows a diagnosis even more accurate than computer tomography even in cerebral
malformations as schizencephaly.
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