Aicardi Syndrome: A Case Report
Camille S Cantalejo | Lucy Kathrina Banta- Banzali
Discipline: medicine by specialism
Abstract:
Aicardi Syndrome is an extremely rare genetic disorder characterized by infantile
seizures/spasms, agenesis of the corpus callosum, chorioretinal lacunae, and learning disabilities.
It is likely caused by a de novo mutation in a gene in the X chromosome. However, the gene that
causes this syndrome is still not known. It is diagnosed based on clinical findings. Aicardi
syndrome may present as a clinical spectrum, from mild to severe disease. In general, the
younger the age at which epilepsy and learning disabilities are diagnosed, the more severe the
epilepsy and learning difficulties become later in life. Hence, long-term surveillance and
management are warranted. This paper presents a 6-month-old Filipino female who exhibited
the classic triad of Aicardi Syndrome: profound seizure episodes; callosal agenesis and
interhemispheric cysts; and chorioretinal lacunae. Several anti-epileptic drugs such as
Phenobarbital, Clonazepam and Topiramate were given for the seizures. Ophthalmogic
examination and retinal camera fluorescein angiogram were advised to be performed regularly as
well as consistent neurodevelopmental follow-up.
References:
- Aicardi Syndrome Information Page. (n.d.). Retrieved from https://www.ninds.nih.gov/Disorders/All-Disorders/Aicardi-Syndrome-Information-Page#disorders-r3
- “Aicardi Syndrome | Epilepsy Action.‖ Epilepsy Action | Epilepsy Information and Advise, https://www.epilepsy.org.uk/info/syndromes/aicardi-syndrome. Accessed March 17, 2021.
- Babies Born with Congenital Cytomegalovirus (CMV).‖ Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 28 Apr. 2020, www.cdc.gov/cmv/congenital-infection.html.
- Banerjee T K, Chattopadhyay A, Manglik A K, Ghosh B. Aicardi syndrome: A report of five Indian cases. Neurol India 2006;54:91-3
- Dinani, S., & Jancar, J. (2008). Aicardi’s Syndrome: (Agenesis of the Corpus Callosum, Infantile Spasms, and Ocular Anomalies). Journal of Intellectual Disability Research, 28(2), 143–149. doi:10.1111/j.1365-2788.1984.tb01005.x
- Kliegman, R. (2020). Nelson textbook of pediatrics (Edition 21.). Philadelphia, PA: Elsevier. MLA Citation. Kliegman, Robert.
- Menezes AV, MacGregor DL, Buncic JR. Aicardi syndrome: natural history and possible predictors of severity. Pediatr Neurol. 1994 Nov;11(4):313-8. doi: 10.1016/0887-8994(94)90008-6. PMID: 7702692.
- NORD (National Organization for Rare Disorders). 2021. Aicardi Syndrome - NORD (National Organization for Rare Disorders). [online] Available at: https://rarediseases.org/rare-diseases/aicardi-syndrome/ [Accessed 17 March 2021].
- Rosser, T. (2003). Aicardi Syndrome. Archives of Neurology, 60(10), 1471. doi:10.1001/archneur.60.10.1471
- Saltik S, Kocer N, Dervent A. Magnetic resonance imaging findings in infantile spasms: etiologic and pathophysiologic aspects. J Child Neurol. 2003 Apr;18(4):241-6. doi: 10.1177/08830738030180041201. PMID: 12760425.
- Sutton VR, Van den Veyver IB. Aicardi Syndrome. 2006 Jun 30 [Updated 2020 Nov 12]. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1381/
- Uptodate. (n.d.). Retrieved March 04, 2021, from https://www.uptodate.com/contents/clinical-features-and-diagnosis-of-infantile-spasms?search=aicardi+syndrome&topicRef=6163&source=related_link.
- Young R. (2016). Aicardi Syndrome. Neuroradiology Service in the Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York; Ophthalmic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
ISSN 2704-3665 (Online)
ISSN 0117-3774 (Print)