Advertisement
Original article| Volume 24, ISSUE 7, P710-714, October 2002

Abnormal white matter lesions with sensorineural hearing loss caused by congenital cytomegalovirus infection: retrospective diagnosis by PCR using Guthrie cards

      Abstract

      We report on two patients with congenital cytomegalovirus (CMV) infection asymptomatic at birth that was diagnosed retrospectively by polymerase chain reaction (PCR) of CMV DNA using blood stored on Guthrie cards. Neuroimaging studies showed abnormal myelination without any gray matter abnormalities. In the differential diagnosis of patients with abnormal white matter lesions and sensorineural hearing loss, one should consider congenital CMV infection. When investigating the etiology of patients with behavioral problems, migrational disorder, or white matter disease, PCR analysis of CMV DNA using blood stored on Guthrie cards might be helpful.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Brain and Development
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Alford C.A.
        • Stagno S.
        • Pass R.F.
        • Britt W.J.
        Congenital and perinatal cytomegalovirus infections.
        Rev Infect Dis. 1990; 12: S745-S753
        • Raynor B.D.
        Cytomegalovirus infection in pregnancy.
        Semin Perinatol. 1993; 17: 394-402
        • Boesch C.
        • Issakcainen J.
        • Kewitz G.
        • Kikinis R.
        • Martin E.
        • Boltshauser E.
        Magnetic resonance imaging of the brain in congenital cytomegalovirus infection.
        Pediatr Radiol. 1989; 19: 91-93
        • Sugita K.
        • Ando M.
        • Makino M.
        • Takanashi J.
        • Fujimoto N.
        • Niimi H.
        Magnetic resonance imaging of the brain in congenital rubella virus and cytomegalovirus infections.
        Neuroradiology. 1991; 33: 239-242
        • Barkovich A.J.
        • Lindan C.E.
        Congenital cytomegalovirus infection of the brain: imaging analysis and embryologic considerations.
        AJNR Am J Neuroradiol. 1994; 15: 703-715
        • Boppana S.B.
        • Fowler K.B.
        • Vaid Y.
        • Hedlund G.
        • Stagno S.
        • Britt W.J.
        • et al.
        Neuroradiiographic findings in the newborn period and long-term outcome in children with symptomatic congenital cytomegalovirus infection.
        Pediatrics. 1997; 99: 409-414
        • Kohyama J.
        • Suzuki N.
        • Kajiwara M.
        • Shimohira M.
        • Iwakawa Y.
        A case of chronic epileptic encephalopathy of neonatal onset. A probable concern of human cytomegalovirus.
        Brain Dev. 1993; 15: 448-452
        • Williamson W.D.
        • Demmler G.J.
        • Percy A.K.
        • Catlin F.I.
        Progressive hearing loss in infants with asymptomatic congenital cytomegalovirus infection.
        Pediatrics. 1992; 90: 862-866
        • Malm G.
        • Grondahl E.H.
        • Lewensohn-Fuchs I.
        Congenital cytomegalovirus infection: a retrospective diagnosis in a child with pachygyria.
        Pediatr Neurol. 2000; 22: 407-408
        • Johansson P.J.
        • Jonsson M.
        • Ahlfors K.
        • Ivarsson S.A.
        • Svanberg L.
        • Guthenberg C.
        Retrospective diagnostics of congenital cytomegalovirus infection performed by polymerase chain reaction in blood stored on filter paper.
        Scand J Infect Dis. 1997; 29: 465-468
        • Funato T.
        • Satou N.
        • Abukawa D.
        • Satou J.
        • Abe Y.
        • Ishii K.K.
        • et al.
        Quantitative evaluation of cytomegalovirus DNA in infantile hepatitis.
        J Viral Hepat. 2001; 8: 217-222
        • Pass R.F.
        • Stagno S.
        • Myers G.J.
        • Alford C.A.
        Outcome of symptomatic congenital cytomegalovirus infection: results of long-term longitudinal follow-up.
        Pediatrics. 1980; 66: 758-762
        • Steinlin M.I.
        • Nadal D.
        • Eich G.F.
        • Martin E.
        • Boltshauser E.J.
        Late intrauterine cytomegalovirus infection: clinical and neuroimaging findings.
        Pediatr Neurol. 1996; 15: 249-253
        • Conboy T.J.
        • Pass R.F.
        • Stagno S.
        • Britt W.J.
        • Alford C.A.
        • McFarland C.E.
        • et al.
        Intellectual development in school-aged children with asymptomatic congenital cytomegalovirus infection.
        Pediatrics. 1986; 77: 801-806
        • Saigal S.
        • Lunyk O.
        • Larke R.P.
        • Chernesky M.A.
        The outcome in children with congenital cytomegalovirus infection. A longitudinal follow-up study.
        Am J Dis Child. 1982; 136: 896-901