Ann Clin Neurophysiol.  2018 Jul;20(2):85-88. 10.14253/acn.2018.20.2.85.

Septo-optic dysplasia plus diagnosed in a middle-aged woman

Affiliations
  • 1Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. kihwanji@gmail.com

Abstract

Septo-optic dysplasia is a congenital anomaly with diverse phenotypes from normal to mixtures of visual abnormality, endocrine dysfunction, psychomotor retardations and epileptic seizures. It is characterized by optic atrophy, pituitary dysfunction and midline structure abnormalities in corpus callosum or septum pellucidum. Diagnosis of septo-optic dysplasia plus is made when cortical malformations accompanied. Here we report a middle-aged woman with septo-optic dysplasia plus having unilateral optic atrophy, agenesis of septum pellucidum and cortical malformations.

Keyword

Septo-optic dysplasia; Optic atrophy; Congenital abnormalities

MeSH Terms

Congenital Abnormalities
Corpus Callosum
Diagnosis
Epilepsy
Female
Humans
Optic Atrophy
Phenotype
Septo-Optic Dysplasia*
Septum Pellucidum

Figure

  • Fig. 1 Fundus photo (A) and brain MRI (B-D). (A) Relative disc pallor in the right eye compared to the left. (B) Lissencephaly (thick arrow), gray matter heterotopia (thin arrow) and absent of septum pellucidum on coronal short tau inversion recovery fluid-attenuated inversion recovery MRI. (C) Schizencephaly (thick arrow) on axial fluid-attenuated recovery MRI. (D) Hypoplasia of right optic nerve (arrow head) on T2 axial MRI. MRI, magnetic resonance imaging.


Reference

1. Kelberman D, Dattani MT. Genetics of septo-optic dysplasia. Pituitary. 2007; 10:393–407.
Article
2. Webb EA, Dattani MT. Septo-optic dysplasia. Eur J Hum Genet. 2010; 18:393–397.
Article
3. Matushita JP Jr, Tiel C, Batista RR, Py M, Gasparetto EL. Septo-optic dysplasia plus: clinical presentation and magnetic resonance imaging findings. Arq Neuropsiquiatr. 2010; 68:315–316.
4. Miller SP, Shevell MI, Patenaude Y, Poulin C, O'Gorman AM. Septo-optic dysplasia plus: a spectrum of malformations of cortical development. Neurology. 2000; 54:1701–1703.
Article
5. Alt C, Shevell MI, Poulin C, Rosenblatt B, Saint-Martin C, Srour M. Clinical and radiologic spectrum of septo-optic dysplasia: review of 17 cases. J Child Neurol. 2017; 32:797–803.
Article
6. Haddad NG, Eugster EA. Hypopituitarism and neurodevelopmental abnormalities in relation to central nervous system structural defects in children with optic nerve hypoplasia. J Pediatr Endocrinol Metab. 2005; 18:853–858.
Article
7. AlKhateeb M, McLachlan R, Burneo J, Diosy D, Mirsattari S. Six adult patients with septo-optic dysplasia and drug-resistant epilepsy: clinical findings and course. Epilepsy Behav Case Rep. 2017; 8:73–84.
Article
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