Bilateral schizencephaly - open and closed lip

Case contributed by Heraldo O.Mello Neto
Diagnosis certain

Presentation

Patient with general developmental delay and motor disturbance.

Patient Data

Age: 5 years
Gender: Male

Alteration of the morphology and conformation of cortical gyri of the cerebral hemispheres, compromising the frontoparietal regions, more evident on the left.

CSF split delimited by heterotopic gray matter extending from the lateral surface of the left cerebral hemisphere communicating with the lateral ventricle (open lip schizencephaly). A similar change is seen on the right, but without communication with the ventricular system (closed lip schizencephaly).

The septum pellucidum is absent.

Case Discussion

Bilateral schizencephaly, open and closed lip types associated with absent septum pellucidum.

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