Abstract | BACKGROUND: CASE REPORTS: We report 2 patients with congenital adrenal hyperplasia (CAH) due to 21-OHD who were treated prenatally with dexamethasone, suffered from an acute encephalopathy and showed focal and multifocal cortical and subcortical diffusion restrictions in early MRI and signs of permanent alterations in the follow-up neuroimaging studies. Both patients recovered from the acute episode. Whereas the first patient recovered without neurological sequelae the second patient showed hemianopsia and spastic hemiplegia in the neurological follow-up examination. CONCLUSION: These are 2 children with CAH, both treated prenatally with high doses of dexamethasone to prevent virilization. The question arises whether prenatal high-dose GC treatment in patients with CAH might represent a risk factor for brain lesions in later life. Adverse effects/events should be reported systematically in patients undergoing prenatal GC treatment and long-term follow-up studies involving risk factors for cerebrovascular disease should be performed.
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Authors | Sebastian Grunt, Maja Steinlin, Christian Weisstanner, Martin Schöning, Primus E Mullis, Christa E Flück |
Journal | Hormone research in paediatrics
(Horm Res Paediatr)
Vol. 80
Issue 1
Pg. 57-63
( 2013)
ISSN: 1663-2826 [Electronic] Switzerland |
PMID | 23816834
(Publication Type: Case Reports, Journal Article)
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Copyright | Copyright © 2013 S. Karger AG, Basel. |
Chemical References |
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Topics |
- Adolescent
- Adrenal Hyperplasia, Congenital
(drug therapy)
- Child
- Child, Preschool
- Dexamethasone
(adverse effects)
- Female
- Fetus
(drug effects)
- Humans
- Infant
- Male
- Neurotoxicity Syndromes
(etiology)
- Pregnancy
- Prenatal Care
- Prenatal Exposure Delayed Effects
- Virilism
(prevention & control)
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