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Polymicrogyria

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Long standing epilepsy. Started in right hand.

Patient Data

Age: 40 years
Gender: Female
mri

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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