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Segmental Agenesis of the Corpus Callosum With Pituitary Hypoplasia
We report a 3-year-old male with findings of segmental agenesis of the corpus callosum, pituitary hypoplasia, and Chiari I malformation. The patient was born at 33 weeks and spent five weeks in the NICU for hypoglycemia, hypotension, and dyspnea. In infancy, the patient passed an adrenocorticotropic...
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Published in: | Curēus (Palo Alto, CA) CA), 2024-04, Vol.16 (4), p.e58727 |
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description | We report a 3-year-old male with findings of segmental agenesis of the corpus callosum, pituitary hypoplasia, and Chiari I malformation. The patient was born at 33 weeks and spent five weeks in the NICU for hypoglycemia, hypotension, and dyspnea. In infancy, the patient passed an adrenocorticotropic hormone stimulation test, while cortisol, growth hormone, and insulin-like growth factor levels were within reference range. Following height and weight percentile regression the patient underwent arginine and clonidine stimulation testing at 3 years of age, prompting pituitary evaluation via MRI. The results provided exemplary neuroimaging of segmental callosal agenesis, in which the genu and splenium form despite the absence of the callosal body. This finding adds support to a newer theory of embryological callosal development where progression does not occur linearly in the rosto-caudal direction. |
doi_str_mv | 10.7759/cureus.58727 |
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This finding adds support to a newer theory of embryological callosal development where progression does not occur linearly in the rosto-caudal direction.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.58727</identifier><identifier>PMID: 38779273</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Age ; Endocrinology/Diabetes/Metabolism ; Growth hormones ; Hearing loss ; Hormone replacement therapy ; Hypoglycemia ; Hypotension ; Insulin ; Insulin-like growth factors ; Magnetic resonance imaging ; Neurology ; Pituitary gland ; Radiology ; Sleep apnea</subject><ispartof>Curēus (Palo Alto, CA), 2024-04, Vol.16 (4), p.e58727</ispartof><rights>Copyright © 2024, Haver et al.</rights><rights>Copyright © 2024, Haver et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). 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subjects | Age Endocrinology/Diabetes/Metabolism Growth hormones Hearing loss Hormone replacement therapy Hypoglycemia Hypotension Insulin Insulin-like growth factors Magnetic resonance imaging Neurology Pituitary gland Radiology Sleep apnea |
title | Segmental Agenesis of the Corpus Callosum With Pituitary Hypoplasia |
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