1994
DOI: 10.1002/ajmg.1320520218
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Discordant infantile encephalopathy with symmetrical thalamic calcifications in identical twins

Abstract: Connatal thalamic calcifications in apparently uneventful pregnancies have been described in various case reports and in a single report in two sibs. On the other hand, this lesion is known to occur after a hypoxic-ischemic accident in the immature brain. In the present report infantile encephalopathy with symmetrical thalamic calcifications is observed in one sib of a monozygous twin pair. This observation adds to the evidence that the condition is acquired, most probably on the basis of hypoxia-ischemia, and… Show more

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Cited by 7 publications
(6 citation statements)
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“…A substantial part of these deformations is present in only one twin [Hall, 1996b, 2003]. Evidently, discordance for congenital deformations or malformations in an MZ twin pair may also reflect environmental origins [van der Knaap and Barth, 1994; Mohammed et al, 2004].…”
Section: Mz Twins Discordant For Chromosomal Abnormalities and Mendelmentioning
confidence: 99%
“…A substantial part of these deformations is present in only one twin [Hall, 1996b, 2003]. Evidently, discordance for congenital deformations or malformations in an MZ twin pair may also reflect environmental origins [van der Knaap and Barth, 1994; Mohammed et al, 2004].…”
Section: Mz Twins Discordant For Chromosomal Abnormalities and Mendelmentioning
confidence: 99%
“…The lesions can be diagnosed by cerebral ultraso-Received: February 23,1999;revised, accepted: July 26,1999Neuropediatrics 30 (1999 300 -306 Q Hippokrates Verlag Stuttgart nography (US). showing increased echogenicity of the thalami (9, 28,34), which is the consequence of hemorrhage, infarction or calcifications (9,16,23,30,34). MRI studies report on a changed signal intensity of the thalamus, mostly in combination with signal intensity changes of the basal ganglia (4,6, 26.27).…”
Section: Introductionmentioning
confidence: 99%
“…Bilateral thalamic lesions are associated with a high mortality and morbidity (15,24,27,34). Many infants die during the neonatal period and those who survive are likely to develop serious neurological handicaps (5,9,15,24,27,28,30).…”
Section: Introductionmentioning
confidence: 99%
“…Clinical presentation at birth is severe: low Apgar scores [1,3,4], no spontaneous movements [3,4,6], spasticity or hypertone [1,4 -6], or marked hypotonia, feeding problems caused by impaired suck and swallow [3 -6], facial diplegia and tongue fasciculations [3].…”
Section: Discussionmentioning
confidence: 99%