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Case Report
Failure of respiratory withdrawal in an infant revealing an agenesis of the corpus callosum: A case report
1 Radiology Department, Children’s Hospital, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco
2 Anesthesiology and Resuscitation Department, Children’s Hospital, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco
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Othman Ayouche
Radiology Department, Children’s Hospital, Ibn Sina Hospital, Mohamed V University, Rabat,
Morocco
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Article ID: 101050Z01OA2019
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How to cite this article
Ayouche O, El Bakkari A, Chat L, Allali N, Smiti Y, Youssef D, Bentalha A, Leghlimi H, El Koraichi A, El Kettani SEC. Failure of respiratory withdrawal in an infant revealing an agenesis of the corpus callosum: A case report. Int J Case Rep Images 2019;10:101050Z01OA2019.ABSTRACT
Introduction: Corpus callosum is a cerebral commissure connecting the two hemispheres. It is the center of many pathological entities, among them, its agenesis, which is a common neurological anomaly usually, detected in antenatal sonography examinations. One in two patients has an associated intracerebral malformation. Imaging plays a major role in the antenatal detection as well as neonatal diagnosis of this entity. Sedation presents a difficult challenge especially in the case of severe neurological complications.
Case Report: We expose the case of a respiratory failure with convulsive episodes resistant to therapy in a three months infant revealing a complete agenesis of the corpus callosum (ACC) with triventricular hydrocephalus due to aqueductal stenosis.
Conclusion: The ACC is a congenital anomaly due to a direct insult to the corpus callosum in its developmental phase. It is usually asymptomatic, but has to be sought after systematically in a baby presenting neurological disorders, usually after eliminating meningitis or metabolic disorders. These neurological disorders are predictive factors of difficulty of respiratory withdrawal, and have to be controlled before any intention of withdrawal.
Keywords: Complete, Corpus callosum agenesis, CT, Failure of respiratory withdrawal
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Author Contributions
Asaad El Bakkari - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Othman Ayouche - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Latifa Chat - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nazik Allali - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yassine Smiti - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dahbi Youssef - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Aziza Bentalha - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hasnaa Leghlimi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alae El Koraichi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Salma Ech-Cherif El Kettani - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Othman Ayouche et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
