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Journal of Pediatric Neurology 2021; 19(03): 213-216
DOI: 10.1055/s-0040-1715858
Case Report

Imaging Findings of Septooptic Dysplasia and Joubert's Syndrome in A Patient with Mixed Gonadal Dysgenesis: A New Coexistence?

Merter Keçeli 
1   Department of Pediatric Radiology, University of Health Sciences Turkey, Konya Education and Research Hospital, Konya, Turkey
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Abstract

Ambiguous genitalia is a common feature in most disorders of sexual development. These disorders can be evaluated within three groups: sex chromosome disorders, 46,XY disorders, and 46,XX disorders. Except for Turner's syndrome, these anomalies are not related to neurological developmental anomalies. A 6-month-old patient presenting with ambiguous genitalia had developmental and motor retardation with nystagmus. In karyotype analysis, 45,X/46,XY sequences were found, compatible with mixed gonadal dysgenesis (GD). Laboratory findings were normal except for low serum total testosterone level. The uterus and left adnexal structures were seen in imaging. There were no gonads in the labial/scrotal regions. Septooptic dysplasia (SOD) and Joubert's syndrome (JS) were detected in cranial magnetic resonance imaging. This presentation reports rare association of SOD and JS in a child with mixed GD.

Keywords

ambiguous genitalia - gonadal dysgenesis - 45 - X/46 - XY - Joubert's syndrome - septooptic dysplasia


Publication History

Received: 02 June 2020

Accepted: 17 July 2020

Article published online:
31 August 2020

© 2020. Thieme. All rights reserved.

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