Bilateral perisylvian polymicrogyria

Case contributed by Todd Mulderink
Diagnosis certain

Presentation

Focal drug-resistant epilepsy.

Patient Data

Age: 25 years
Gender: Male

MRI Brain

mri

Bilateral perisylvian and temporal polymicrogyria

Baseline SPECT

Nuclear medicine

Baseline SPECT with region of mildly decreased uptake right perisylvian region.

Ictal SPECT

Nuclear medicine

Ictal SPECT examinations with regions of differential increased uptake in the posterior perisylvian regions bilaterally and within the central insula on the left.

Case Discussion

Bilateral perisylvian and temporal polymicrogyria.

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