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Revista Cubana de Pediatría

Print version ISSN 0034-7531On-line version ISSN 1561-3119

Abstract

HERNANDEZ VELASCO, Thays; SEOANE PIEDRA, Janet  and  PEREZ CHIO, Ileana María. Early intervention in a newborn with agenesis of the corpus callosum. Rev Cubana Pediatr [online]. 2020, vol.92, n.4, e1288.  Epub Dec 01, 2020. ISSN 0034-7531.

Introduction:

The program of early stimulation in the early childhood is designed to foster and improve neurodevelopment. The callused body is a curved mass of a white substance composed by a beam of transverse fibers located in the back of the longitudinal track that connects both brain hemispheres. It is associated to prematurity and advanced maternal age.

Objective:

To prove the validity of an early intervention program in the evolution of a patient with agenesis of corpus callosum in the stages of neurodevelopment.

Case presentation:

Venezuelan newborn, 4 months old, masculine, white skin, product of a second pregnancy. Young parents, no blood relation. At 19 weeks of pregnancy, it is conducted a fetal echography: interhemispheric cystic image, suggestive to agenesis of the corpus callosum. Emergency cesarean section at 34 weeks of pregnancy due to: IUGR, severe oligoamnios; acute fetal distress and preeclampsia, with 7-9 Agar, weight: 1800 g. The newborn was admitted in ´´La Pradera´´ International Health Center with a diagnosis of agenesis of the corpus callosum, and delay in the psychomotor development. It was started a program of early intervention five times in the week with four-monthly assessments. Relatives were involved in the program. At 18 months old, the patient achieved the longitudinal milestones of that age.

Conclusions:

Early interventions favour brain neuroplasticity mechanisms, and provide a satisfactorily evolution in the stages of neurodevelopment, obviating the agenesis of the corpus callosum. Intensive participation of the child’s mother is essential for the success of the intervention.

Keywords : agenesis of the corpus callosum; neurodevelopment; early intervention; neurorehabilitation.

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