title: Aicardi syndrome accompanied by auditory disturbance and multiple brain tumors.
abstract: We described a 5-month-old girl with Aicardi syndrome accompanied by auditory disturbance and multiple brain tumors. She was admitted to our hospital because she suffered from intractable flexor spasms. Physical examination revealed craniofacial asymmetry, left auricular deformity, scoliosis, and remarkable hypotonia with psychomotor retardation. Abnormal ophthalmological findings included chorioretinopathy with pale and round-shaped peripapillary lacunae, and there was modified hypsarrhythmia in her EEG. MRI revealed multiple brain tumors in the 3rd and the lateral ventricles which are considered to be choroid plexus papilloma with agenesis of the corpus callosum. ACTH therapy was administered because of the intractable seizures. After ACTH therapy, the thresholds of waves I and V were much improved. The interpeak latency of waves I-V of the left ear and the peak latency of wave I of the right ear had been lengthened. Acoustic reflex with contralateral stimulation showed no response in the left ear. These findings indicate that the auditory system is also involved in the Aicardi syndrome and that ACTH is effective for its dysfunction.
authors.affiliation: Department of Pediatrics, University of Tsukuba, Ibaraki, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Hamano
authors.forename: T
authors.initials: T
authors.lastname: Matsubara
authors.forename: S
authors.initials: S
authors.lastname: Shibata
authors.forename: C
authors.initials: C
authors.lastname: Hirano
authors.forename: Z
authors.initials: Z
authors.lastname: Ito
authors.forename: Y
authors.initials: Y
authors.lastname: Ase
authors.forename: J
authors.initials: J
authors.lastname: Kusakari
authors.forename: H
authors.initials: H
authors.lastname: Takita
mesh_terms: D000158:Acoustic Impedance Tests; D000324:Adrenocorticotropic Hormone / Q000494:pharmacology; D061085:Agenesis of Corpus Callosum; D001299:Audiometry; D001932:Brain Neoplasms / Q000151:congenital* / Q000473:pathology; D003337:Corpus Callosum / Q000473:pathology; D005260:Female; D006311:Hearing Disorders / Q000151:congenital* / Q000473:pathology; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D012018:Reflex / Q000502:physiology; D013577:Syndrome
chemical_list: D000324:Adrenocorticotropic Hormone