%0 Journal Article %T Prenatal diagnosis of Aicardi syndrome based on a suggestive imaging pattern: A multicenter case-series. %A Pomar L %A Ochoa J %A Cabet S %A Huisman TAGM %A Paladini D %A Klaritsch P %A Galmiche A %A Prayer F %A Gacio S %A Haratz K %A Malinger G %A Van Mieghem T %A Baud D %A Bromley B %A Lebon S %A Dubruc E %A Vial Y %A Guibaud L %J Prenat Diagn %V 42 %N 4 %D 04 2022 %M 34984691 %F 3.242 %R 10.1002/pd.6085 %X To characterize a suggestive prenatal imaging pattern of Aicardi syndrome using ultrasound and MR imaging.
Based on a retrospective international series of Aicardi syndrome cases from tertiary centers encountered over a 20-year period (2000-2020), we investigated the frequencies of the imaging features in order to characterize an imaging pattern highly suggestive of the diagnosis.
Among 20 cases included, arachnoid cysts associated with a distortion of the interhemispheric fissure were constantly encountered associated with complete or partial agenesis of the corpus callosum (19/20, 95%). This triad in the presence of other CNS disorganization, such as polymicrogyria (16/17, 94%), heterotopias (15/17, 88%), ventriculomegaly (14/20, 70%), cerebral asymmetry [14/20, 70%]) and less frequently extra-CNS anomaly (ocular anomalies [7/11, 64%], costal/vertebral segmentation defect [4/20, 20%]) represent a highly suggestive pattern of Aicardi syndrome in a female patient.
Despite absence of genetic test to confirm prenatal diagnosis of AS, this combination of CNS and extra-CNS fetal findings allows delineation of a characteristic imaging pattern of AS, especially when facing dysgenesis of the corpus callosum.