AGENESIS OF CORPUS

CALLOSUM
BY: STORMY LAXTON, CLINICAL PRACTICUM III, SUMMER 2017
CASE HISTORY:

 HX: Questionable agenesis of the corpus callosum.

 AGE: 1 Day
 SEX: Male
 RACE: Caucasian
 REASON FOR EXAM: Prematurity 38 weeks gestation. Was
noted to have ventriculomegally as a fetus with question
of agenesis of the corpus callosum.
SONOGRAPHIC • FIGURE 1: This is an image of
the anterior cerebral artery.
FINDINGS:

• FIGURE 2: Midline sagittal scan

plane showing the sunburst sign.
SONOGRAPHIC • FIGURE 3: Sagittal right image
showing dilated lateral ventricle
FINDINGS: and large enlargement of the
occipital horn compared with
the rest of the lateral ventricle.

• FIGURE 4: This is a sagittal left

image that you can see the same
enlargement of the occipital
horn compared to the rest of the
lateral ventricle. Also the
orange arrows are pointing to
two cyst to the left of midline.
 • FIGURE 5: The arrows are
SONOGRAPHIC pointing to the widely separated
frontal horns of the lateral
FINDINGS: ventricles in the coronal scan
plane.

POST

• FIGURE 6: Teardrop
configuration of the occipital
horns of the lateral ventricles is
seen in the lime green box.
 • FIGURE 7: This is a completely
normal neonatal head in a
SONOGRAPHIC sagittal midline scan plane.
FINDINGS:

• FIGURE 8: This is a sagittal midline view of the patient

I scanned with agenesis of the corpus callosum.
DIAGNOSIS: Agenesis of the Corpus Callosum

 DIAGNOSIS:
 Agenesis of the Corpus Callosum

 DEFINITION:
A congenital disorder in which there is complete or
partial absence of the corpus callosum.
DIAGNOSIS: Agenesis of the Corpus Callosum
 KEY FACTS:
 Agenesisis a result of an insult occurring from 8 – 12
weeks gestation.
 Congenital disorder due to it being present at birth
 Primary VS. Secondary
 What’s the cause???

 OTHER MODALITIES USED:

 MRI

 Angiography
 FOLLOW UP:

TREATMENT PLANS: SURGERY: PROGNOSIS:

 All treatment plans  Shunt placement ▶ Not lethal
vary and depend due to patient ▶ Cases may vary some
upon the range and presenting with may result in mental
severity of hydrocephalus. retardation may result,
symptoms. but on the other hand
 Treatment usually intelligence may only
involves be mildly impaired.
management of
symptoms and
seizures.
DIFFERENTIAL DIAGNOSIS: Arachnoid Cyst

 Relatively common benign  Sonographically: Anechoic

lesion occurring in cystic structure that does
association with the NOT communicate with
central nervous system the ventricular system.
that contain CSF.  Follow Up: The majority
 1% of all intracranial remain asymptomatic but
masses if deemed to be causing
 More common in males symptoms surgery can be
and on the left side. contemplated.
CONCLUSION:
 In conclusion my patient was one day old and was born at 38
weeks gestation. We performed this exam due to a question of
agenesis of the corpus callosum. While scanning we were able to
document ventriculomegally, two cystic structures to the left of
midline, and the absence of the corpus callosum. Due to my
patient only being one day old there were no symptoms.

 Take Away:
 Be aware of your surroundings.
 Don’t forget to document your pathology.
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