Abstract

Objective This report describes a case in which MRI pictures lead to diagnosis of Congenital CMV. Case 1: 8 months old infant was admitted to the Child Neurology department with muscle hypotonia, poor visual contact and developmental delay. She is 2nd child from 3rd pregnancy, child was born at term, with low birth weight. She had microcephaly, axial hypotonia and slight spasticity of the extremities with high tendon reflexes, and she was underweight. Bilateral sensorineural hearing loss was revealed by audiometry. MRI was done and delayed myelination, bilateral perisylvian polymicrogyria, and diffuse white matter changes were found in it. It was suspected CMV and then performed brain CT. Brain CTshowed periventricular calcifications. Conclusion The presence of the described MRI findings is an indication for CMV investigation. And intracranial calcification in addition to with such changes can be pattern recognition for Congenital CMV.

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