2020, Number 4
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ABSTRACTIntroduction: 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.
Baker T, Haines S, Yost J, DiClaudio S, Braun C, Holt S. The role offamily-centered therapy when used with physical or occupational therapy in children with congenital or acquired disorders. Physical Ther Rev. 2012[acceso 08/08/2020];17:29-36. Disponible en Disponible en https://www.ncbi.nlm.nih.gov/books/NBK127412/
Sung Eun K, Hye-In J, Kylie Hae-jin Ch, Ji-Hee S, Jiwon L, Jeehun L, Suk-Joo Ch, Soo-young O, Cheong-Rae R, Jong-Hwa K.Clinical outcomes and neurodevelopmental outcome of prenatally diagnosed agenesis of corpus callosum in single center of Korea. Obstet Gynecol Sci. 2017;60(1):8-17. doi: 10.5468/ogs.2017.60.1.8.
Romero-López MJ, Moraleda- Barreno E, Cayetano- Menéndez MJ. Retraso del desarrollo, alteraciones interhemisféricas cerebrales e imágenes de resonancia magnética: casos clínicos. [acceso 05/07/2020]:3445/1 Disponible en: Disponible en: http://www.portalesmedicos.com/publicaciones/articles/3445/1/Retrasodel-desarrollo-alteraciones-interhemisfericas-cerebrales-e-imagenes-deresonancia-magnetica-Casos-clinicos.html
Folliot-Le Doussala L, Chadiea A, Brasseur-Daudruy M, Verspyck E, Saugier-Vebere P, Marreta S. Perinatal Network of Haute-Normandie. Neurodevelopmental outcome in prenatally diagnosed isolated agenesis of the corpus callosum. Ear Human Development. 2018;116:9-16. doi: 10.1111/j.1651-2227.2008.00688.x.