Septo-optic Dysplasia: Morphological, Ophthalmologic and Endocrine Findings in 11 Patients
Vosáhlo J.1, Krásný J.2, SrpA.3, Brunnerová R.2, Lebl J.1
Klinika dětí a dorostu 3. LF UK a FN Královské Vinohrady, Praha1 přednosta doc. MUDr. J. Lebl, CSc.Oftalmologická klinika 3. LF UK a FN Královské Vinohrady, Praha2přednosta prof. MUDr. P. Kuchynka, CSc. Radiodiagnostická klinika 3. LF UK a FN Královské Vinohrady, Praha3přednosta doc. MUDr. J. Šprindrich, CSc. |
|
Summary:
Septo-optic dysplasia (SOD) is a developmental abnormality characterised by optic nerve hypoplasia, brain
malformations and hypothalamic-pituitary deficiencies. Morphological, ophthalmologic and endocrine findings
were studied in 11 children with SOD - 5 males and 6 females. Brain malformations were found in 10 children and
included aplasia of the septum pellucidum (4), corpus callosum (3) and fornix (1), pituitary abnormalities (9),
cortical malformations (4) and some additional findings in single patients. Developmental abnormalities of the
optic nerve were seen in 9 children - unilateral (6) and bilateral (2) optic nerve hypoplasia and dysplastic changes
(1). Blindness was present in 2 children bilaterally and in 6 children unilaterally. Nine children suffered from
strabism and 4 from nystagmus. Endocrine symptoms were present in 9 patients. Most prevalent was growth
hormone deficiency (8), followed by central hypothyroidism (7), hypocorticalism (6), hypogonadism (2) and
diabetes insipidus (1). Early diagnosis and interdisciplinary approach are essential in adequate care for children
with SOD.
Key words:
septo-optic dysplasia, De Morsier syndrome, optic nerve hypoplasia, growth hormone deficiency
|