Open lip schizencephaly

Case contributed by Arthur Daire
Diagnosis certain

Presentation

Enlarged head and suspected hydrocephalus. Very large right lateral ventricle on ultrasound (not shown). MRI was recommended for further evaluation.

Patient Data

Age: 1 year
Gender: Male
mri

A very large cleft joining the sub-arachnoid space with the body of the right lateral ventricle. The cleft is lined by gray matter. Absent suptum pellucidum.

Case Discussion

The findings are consistent with open lipped schizencephaly. Absence of the septum pellucidum is a known association.

If the cleft is not lined by gray matter, then a differential diagnosis should include porencephalic cyst.

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