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complex cortical dysplasia with other brain malformations 5

Description

Complex Cortical Dysplasia with Other Brain Malformations (CDCBM) - Description

Complex cortical dysplasia with other brain malformations is a rare genetic disorder that affects the development of the brain. It is characterized by abnormal neuronal migration and axonal guidance, leading to various symptoms and complications.

  • Primary Symptoms: Individuals with CDCBM may experience recurrent seizures (epilepsy), delayed development, crossed eyes, problems with speech and swallowing, and other neurological issues [1][2].
  • Microcephaly and Ataxia: Some cases of CDCBM are associated with microcephaly (small head size) and ataxia (coordination and balance problems) [5].
  • Genetic Causes: The disorder can be caused by mutations in various genes, including TUBB3, KIF5C, and TUBB2B [3][4][9].

Overall, complex cortical dysplasia with other brain malformations is a complex condition that requires prompt medical attention to manage its symptoms and prevent further complications.

References:

[1] Complex cortical dysplasia with other brain malformations (CDCBM) is a disorder of aberrant neuronal migration and disturbed axonal guidance. [2] Signs and symptoms of these conditions can include recurrent seizures (epilepsy), delayed development, crossed eyes, problems with speech and swallowing, and ... [3] Any complex cortical dysplasia with other brain malformations in which the cause of the disease is a mutation in the TUBB3 gene. [4] A disorder of aberrant neuronal migration and disturbed axonal guidance. Affected individuals have microcephaly, ataxia, and severe delayed psychomotor ... [5] complex cortical dysplasia with other brain malformations caused by mutation in KIF5C · cortical dysplasia, Complex, with Other brain malformations type 2 ... [6] Cortical dysplasia, complex, with other brain malformations 2 is a disorder characterized by abnormal neuronal migration and axonal guidance. Clinical ... [7] Complex cortical dysplasia with other brain malformations (CDCBM) is a disorder of aberrant neuronal migration and disturbed axonal guidance. [8] Any complex cortical dysplasia with other brain malformations in which the cause of the disease is a mutation in the TUBB2B gene.

Additional Characteristics

  • Complex cortical dysplasia with other brain malformations
  • RARE GENETIC DISORDER AFFECTING BRAIN DEVELOPMENT
  • CHARACTERIZED BY ABNORMAL NEURONAL MIGRATION AND AXONAL GUIDANCE
  • PRIMARLY SYMPTOMS: SEIZURES, DELAYED DEVELOPMENT, CROSSED EYES, SPEECH AND SWALLOWING PROBLEMS, OTHER NEUROLOGICAL ISSUES
  • ASSOCIATED WITH MICROCEPHALY AND ATAXIA IN SOME CASES
  • CAUSED BY MUTATIONS IN TUBB3, KIF5C, OR TUBB2B GENES

Signs and Symptoms

Common Signs and Symptoms of Complex Cortical Dysplasia with Other Brain Malformations

Complex cortical dysplasia with other brain malformations (CDCBM) is a disorder that can manifest in various ways. Some common signs and symptoms include:

  • Seizures: The most common symptom of CDCBM, seizures can range from mild to severe and may be accompanied by loss of consciousness or convulsions.
  • Mental Retardation: Affected individuals often experience mild to severe mental retardation, which can impact their cognitive abilities and learning capacity.
  • Strabismus: A condition where the eyes do not align properly, strabismus is a common feature in CDCBM patients.
  • Axial Hypotonia: This refers to muscle weakness or flaccidity in the trunk and limbs, leading to poor posture and mobility issues.
  • Spasticity: Characterized by increased muscle tone, spasticity can cause stiffness and rigidity in affected muscles.

Additionally, some patients may also experience:

  • Peripheral Neuropathy: A condition that affects the nerves outside the brain and spinal cord, peripheral neuropathy can lead to symptoms such as abnormal gait, hyporeflexia (reduced reflexes), and foot deformities.
  • Dysmorphic Features: Some individuals with CDCBM may exhibit physical abnormalities, such as unusual facial features or body proportions.

These signs and symptoms can vary in severity and presentation among affected individuals. Early diagnosis and treatment are crucial to managing the condition effectively.

Additional Symptoms

  • Seizures
  • Strabismus
  • Mental Retardation
  • Peripheral Neuropathy
  • Dysmorphic Features
  • Axial Hypotonia
  • spasticity

Diagnostic Tests

Complex cortical dysplasia with other brain malformations (CDCBM) is a disorder that can be challenging to diagnose, but various diagnostic tests can help identify the condition.

  • Imaging studies: Brain imaging techniques such as MRI and CT scans are commonly used to visualize the abnormalities in the cerebral cortex and other brain structures. These images can reveal malformations of cortical development, including polymicrogyria, gyral disorganization, and fusion of the basal ganglia [1][7].
  • Genetic testing: Genetic tests can be performed to identify mutations in genes associated with CDCBM, such as TUBB3 [5]. This can help confirm the diagnosis and provide information on the genetic basis of the condition.
  • Neuropathology: In some cases, a biopsy or autopsy may be necessary to confirm the diagnosis of CDCBM. Neuropathological examination can reveal disordered cortical lamination with or without abnormal cell types [14].

It's worth noting that the diagnostic process for CDCBM can be complex and may involve multiple tests and evaluations. A comprehensive diagnostic workup should be performed by a multidisciplinary team of healthcare professionals, including neurologists, geneticists, and neuropathologists.

References: [1] Complex cortical dysplasia with other brain malformations-7 is an autosomal dominant, clinically heterogeneous disorder showing a wide spectrum of abnormalities of cortical brain development. The most severely affected patients are fetuses with microlissencephaly, absence of the cortical plate, agenesis of the corpus callosum, and severely hypoplastic brainstem and cerebellum. [5] by B Straka · 2022 · Cited by 6 — Diagnosis of focal cortical dysplasia type 2A, epilepsy, and intellectual disability were associated with positive results of germline testing. [7] Brain imaging reveals various cortical development malformations, including white matter streaks, dysmorphic basal ganglia, corpus callosum abnormalities, ... [14] The term ‘focal cortical dysplasia’ (FCD) refers to a spectrum of focal brain malformations characterized by disordered cortical lamination with or without abnormal cell types. In 2011, FCDs were categorized by the International League Against Epilepsy (ILAE) into three subgroups, essentially at pathology level (Blümcke et al., 2011):

Additional Diagnostic Tests

  • Genetic testing
  • Imaging studies
  • Neuropathology

Treatment

Treatment Options for Complex Cortical Dysplasia with Other Brain Malformations

According to the provided information, treatment for complex cortical dysplasia with other brain malformations (CDCBM) is focused on controlling seizures. The doctor may start your child on medicine as a first line of treatment [5].

Some possible treatment options include:

  • Medications: Antiseizure medication is considered first-line treatment for CDCBM, and the optimal dosage and duration of treatment depend on the severity of epilepsy and response to medication [6].
  • Special Diets: A ketogenic diet may also be tried to control seizures in some cases.
  • Gene Therapy: Gene therapy is a promising potential alternative treatment that may be appropriate in cases where surgery represents an unacceptable risk [4].

It's essential to consult with a healthcare professional for personalized advice on the best course of treatment. They can help determine the most effective approach based on individual circumstances.

References: [5] - Treatment is focused on controlling the seizures. The doctor may start your child on medicine. A special diet, called a ketogenic diet, may also be tried to ... [6] - Aug 13, 2020 — The optimal treatment of FCD depends on epilepsy severity and response to antiseizure medication. Antiseizure medication is considered first- ...

Recommended Medications

  • Medications
  • A ketogenic diet

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

Complex cortical dysplasia with other brain malformations (CDCBM) is a disorder that can be challenging to diagnose due to its complex nature. However, based on the search results, here are some key points to consider for differential diagnosis:

  • Associated anomalies: CDCBM is often associated with various brain malformations, including polymicrogyria, gyral disorganization, and fusion [10]. These anomalies can be detected through imaging studies such as MRI.
  • Clinical features: Affected individuals may present with mild to severe mental retardation, strabismus, axial hypotonia, and spasticity [10].
  • Brain imaging findings: Imaging studies may reveal variable malformations of cortical development, including polymicrogyria, gyral disorganization, and fusion [10].

To consider CDCBM in the differential diagnosis for complex cortical dysplasia with other brain malformations 5, clinicians should be aware of these associated anomalies, clinical features, and imaging findings.

References:

[10] Complex cortical dysplasia with other brain malformations-10 (CDCBM10) is an autosomal recessive neurodevelopmental disorder characterized by severely impaired global development associated with abnormalities on brain imaging, including lissencephaly, cortical dysplasia, subcortical heterotopia, and paucity of white matter. The disorder results from defective neuronal migration during brain ...

Additional Information

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