Birth to preschool evolution of agenesis of corpus callosum

A three yr old male child, (LSCS at term) born to a 28 yr old G5P0L0A4 mother with history of recurrent abortions due to TORCH infection, in December 2016, was admitted to the department of Pediatrics, Pravara Rural Hospital, Rural Medical College, Loni, India. She was rubella positive for antibodies IgM. Despite antenatal fetal magnetic resonance imaging (MRI), a diagnosis of agenesis of corpus callosum (ACC) was made at 20 wk gestation, but the parents had decided to continue with the pregnancy. Low birth weight of 1940g, with ACC, mandated neonatal intensive care unit admission. Post-natal MRI, confirmed ACC (Figure AD). Exclusively breastfed, baby was discharged on the 10th day-of-life weighing 1980g, length 46 cm, and head circumference (HC) 32 cm. Monitoring revealed prenatal onset of short stature (three-year chronological age (CA), two-year height age (HA) of 85 cm, weight of 11 kg, HC 44 cm of one-year age). However, CA>HA=BA (bone age) indicates growth potential. Growth hormone at first birthday was <3 ng/ml. Early postnatal MRI brain is recommended for early diagnosis and intervention to achieve full potential.