Polymicrogyria

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Long standing epilepsy. Started in right hand.

Patient Data

Age: 40 years
Gender: Female
mri
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Axial
FLAIR
This study is a stack
Sagittal
T1
This study is a stack
Coronal
T1
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Info

MRI of the brain demonstrates an extensive area of developmental malformation which involves the posterosuperior margins of the left Sylvan fissure. This is characterized by abnormal cortical thickening and a nodular surface and grey-white matter interface. No cleft or grey matter heterotopia noted. Septum pellucidum is present. 

Case Discussion

This case demonstrates typical appearance of polymicrogyria which in this case is unilateral.

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