Summary
Review of the literature reveals no previous clinical, roentgenographic, and pathological correlation of a brain as severely affected by cytomegalic inclusion disease as the present case. The case demonstrates: 1. the infrequently described occurrence of transplacental infection early in gestation; 2. striking roentgen evidence of CNS devastation and calcification; 3. correlation of the temporal occurrence of the mother's infection (manifested by “cold sores” or “fever blisters”) with the stage of arrest of fetal brain development.
Résumé
La revue de la littérature ne révèle aucune description clinique, radiologique et anatomo-pathologique de cerveau aussi sévèrement touché par la maladie des inclusions cytomégaliques. Le cas démontre: 1. l'infection transplacentaire précoce, 2. la nette mise en évidence radiologique de la détérioration et de calcification du système nerveux central, 3. la corrélation entre l'apparition des signes d'infection chez la mère (sueurs froides ou poussées fébriles) et l'arrêt du développement du cerveau du foetus.
Zusammenfassung
Es wird über die klinische Symptomatik, die röntgenologisch nachweisbaren Veränderungen und die pathologisch-anatomische Korrelation eines Neugeborenen berichtet, bei dem ein Cytomegali-Syndrom vorhanden war. Bei der Mutter bestand während des 4. Schwangerschaftsmonat eine fieberhafte Erkrankung, bei der es sich möglicherweise um eine Virusinfektion gehandelt hat.
Similar content being viewed by others
References
Bellamy, J.: Cytomegalic inclusion body disease occurring in twins. Amer. J. clin. Path. 24, 1040 (1954).
Blattner, R.J., Heys, F.M.: The role of viruses in the etiology of congenital malformations. Progr. M. Virol. 3, 311 (1961).
Embil, J.A., Ozere, R.L., Haldane, E.V.: Congenital cytomegalovirus infection in two siblings from consecutive pregnancies. J. Pediat. 77, 417 (1970).
Gear, J., LeRoux, A.F., Kessel, I., Sichel, R.: Generalized cytomegalic inclusion disease. A review and a report of the isolation of virus from cases occurring in Johannesburg. S. Afr. med. J. 36, 8 (1962).
Graham, C.B., Thal, A., Wassum, C.S.: Rubella-like bone changes in congenital cytomegalic inclusion disease. Radiology 94, 39 (1970).
Hardy, J.B.: Viral infection in pregnancy: a review. Amer. J. Obstet. Gynec. 93, 1052 (1965).
Harwood-Nash, D.C., Reilly, B.J., Turnbull, I.: Massive calcification of the brain in a newborn infant. Amer. J. Roentgenol. 108, 528 (1970).
Horsfall, F.L., Tamm, I.: Viral and rickettsial infections of man, 4th ed. New York: Lippincott and Co. 1965.
Kind, V.C.: Generalisierte Cytomegalie bei eineiigen Zwillingen. Schweiz, med. Wscher. 91, 15 (1961).
Lombard, J.P., O'Leary, J.A.: Cytomegalic inclusion body disease and pregnancy: report of two cases. Obstet. Gynec. 22, 654 (1963).
Mannini, A., Medearis, D.N., Jr.: Mouse salivary gland virus infections. Amer. J. Hyg. 73, 329 (1961).
McAllister, R.M., Wright, H.T., Jr., Tasem, W.M.: Cytomegalic inclusion disease in newborn twins. J. Pediat. 64, 278 (1964).
Medearis, D.N., Jr.: Cytomegalic inclusion disease: analysis of clinical features based on literature and six additional cases. Pediatrics 19, 467 (1957).
Medearis, D.N., Jr.: Observations concerning human cytomegalovirus infections and disease. Bull. Johns Hopkins Hosp. 114, 181 (1964).
Merten, D.F., Gooding, C.A.: Skeletal manifestations of congenital cytomegalic inclusion disease. Radiology 95, 333 (1970).
Molloy, P.M., Lowman, R.M.: The lack of specificity of neonatal intracranial paraventricular calcifications. Radiology 80, 98 (1963).
Müssbichler, H.: Radiologic study of intracranial calcifications in congenital toxoplasmosis. Acta radiol, 7, 369 (1968).
Nahmias, A.J., Josey, W.E., Naib, Z.M.: Neonatal herpes simplex infection. Role of genital infection in mother as the source of virus in the newborn. J. Amer. med. Ass. 199, 132 (1967).
Nelson, W.E.: Textbook of Pediatrics, 8th ed. Philadelphia: W.B. Saunders and Co. 1964.
Sackett, G. L., Jr., Ford, M. M.: Cytomegalic inclusion disease with calcification outlining the cerebral ventricles. Amer. J. Roentgenol. 76, 512 (1956).
Sacrez, R., Fruhling, L., Korn, R>, Juif, J.-G., Francfort, C., Geiger, R.: Trois observations de maladie des inclusions cytomegaliques. Arch. franç. Pédiat. 17, 129 (1960).
Smith, M.G.: Propagation in tissue cultures of a cytopathogenic virus from human salivary gland virus (SGV) disease. Proc. Soc. biol. Med. 92, 424 (1956).
Sobel, J.D., Fanaroff, A.A.: Cytomegalovirus infection in infancy: report of 9 cases and brief review of the literature. S. Afr. med. J. 43, 1020 (1969).
Stern, H.: Isolation of cytomegalovirus and clinical manifestations of infection at different ages. Brit. med. J. 1968 I, 665.
Stowens, D.: Pediatric Pathology, 2nd ed. Baltimore: Williams and Wilkins Co. 1966.
Tucker, A.S.: Intracranial calcification in infants. Amer. J. Roentgenol. 86, 458 (1961).
Weller, T. H., Hanshaw, J. B.: Virologic and clinical observations on cytomegalic inclusion disease. New. Engl. J. Med. 266, 1233 (1962).
Wright, H.T., Jr.: Personal communication. Associate Professor of Pediatrics, University of Southern California, Children's Hospital, Los Angeles, California 1970.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
McCabe, M.J., Pribram, H.F.W. & O'Loughlin, B.J. Cytomegalic inclusion disease; a clinico-pathological correlation. Neuroradiology 3, 177–181 (1972). https://doi.org/10.1007/BF00339950
Issue Date:
DOI: https://doi.org/10.1007/BF00339950