Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2011 Dec;1(2):105-10.
doi: 10.1055/s-0031-1285984. Epub 2011 Aug 2.

Polymicrogyria and Congenital Parvovirus b19 Infection

Affiliations
Free PMC article
Case Reports

Polymicrogyria and Congenital Parvovirus b19 Infection

Grant S Schulert et al. AJP Rep. .
Free PMC article

Abstract

Fetal parvovirus B19 infection causes anemia, hydrops, and pregnancy loss but is generally not considered teratogenic. Nevertheless, disturbances of neuronal migration have been described with congenital parvovirus infection. We evaluated a term infant with congenital parvovirus disease and polymicrogyria. We compared this case with four other reports of central nervous system disease after birth to parvovirus-infected mothers. After an extensive diagnostic evaluation, this infant was found to have congenital parvovirus disease with severe anemia and nonimmune hydrops as well as extensive polymicrogyria. Although rare, this report and literature review suggest that parvovirus B19 has the potential to disrupt normal neurodevelopment. We suggest that infants with severe congenital parvovirus infection have close developmental surveillance and if symptomatic undergo neuroimaging to assess for disorders of neuromigration.

Keywords: Parvovirus; congenital infection; polymicrogyria; teratogen.

Figures

Figure 1
Figure 1
Patient brain magnetic resonance imaging (MRI). Axial (A) and coronal (B) T2-weighted postnatal MRI images of patient's brain demonstrating extensive polymicrogyria involving right frontal, temporal, and parietal lobes.

Similar articles

See all similar articles

References

    1. Young N S, Brown K E. Parvovirus B19. N Engl J Med. 2004;350:586–597. - PubMed
    1. Enders M, Weidner A, Zoellner I, Searle K, Enders G. Fetal morbidity and mortality after acute human parvovirus B19 infection in pregnancy: prospective evaluation of 1018 cases. Prenat Diagn. 2004;24:513–518. - PubMed
    1. Kumar M L, Abughali N F. Perinatal parvovirus B19 infection. NeoReviews. 2005;6:32–37.
    1. Pistorius L R, Smal J, de Haan T R. et al. Disturbance of cerebral neuronal migration following congenital parvovirus B19 infection. Fetal Diagn Ther. 2008;24:491–494. - PubMed
    1. Guerrini R, Parrini E. Neuronal migration disorders. Neurobiol Dis. 2010;38:154–166. - PubMed

Publication types

Feedback