[Early onset schizophrenia and partial agenesis of corpus callosum]. 2011

J-A Micoulaud-Franchi, and F Bat-Pitault, and D Da Fonseca, and M Rufo
Solaris, pôle universitaire de psychiatrie, hôpital Sainte-Marguerite, Marseille, France. jarthur.micoulaud@gmail.com

We report a case of schizophrenia with partial agenesis of the corpus callosum in a 14-year-old girl. Diagnosis of schizophrenia was confirmed in the longitudinal follow-up and partial agenesis of the corpus callosum was found on brain MRI at the prodromal stage of disease. The prodromal symptom was progressive deterioration of social and academic adjustment in a context of non-specified psychotic disorder in the father. We found no abnormality in the development but a history of seizures that did not require specific treatment. Follow-up at 8 months showed an increase in negative symptoms and the onset of delusional symptoms and disorganization leading to the prescription of antipsychotic treatment. A review of the literature shows that agenesis of corpus callosum is the most reliable brain morphology abnormality in schizophrenia and is related to the neurodevelopmental and abnormal brain connectivity hypothesis in schizophrenia. Although this abnormality may be a marker of disease severity, our case report highlights the lack of longitudinal follow-up to allow the characterization of a specific outcome pattern of schizophrenic adolescents with partial agenesis of the corpus callosum.

UI MeSH Term Description Entries
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D012559 Schizophrenia A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior. Dementia Praecox,Schizophrenic Disorders,Disorder, Schizophrenic,Disorders, Schizophrenic,Schizophrenias,Schizophrenic Disorder
D061085 Agenesis of Corpus Callosum Birth defect that results in a partial or complete absence of the CORPUS CALLOSUM. It may be isolated or a part of a syndrome (e.g., AICARDI'S SYNDROME; ACROCALLOSAL SYNDROME; ANDERMANN SYNDROME; and HOLOPROSENCEPHALY). Clinical manifestations include neuromotor skill impairment and INTELLECTUAL DISABILITY of variable severity. Absence of Corpus Callosum,Corpus Callosum Agenesis,Corpus Callosum Dysgenesis,Corpus Callosum Hypogenesis,Corpus Callosum Malformation,Corpus Callosum, Agenesis Of,Ageneses, Corpus Callosum,Agenesis, Corpus Callosum,Corpus Callosum Absence,Corpus Callosum Absences,Corpus Callosum Ageneses,Corpus Callosum Dysgeneses,Corpus Callosum Hypogeneses,Dysgeneses, Corpus Callosum,Dysgenesis, Corpus Callosum,Hypogeneses, Corpus Callosum,Hypogenesis, Corpus Callosum

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