Open lip schizencephaly

Case contributed by Dr Ian Bickle

Presentation

Longstanding refractory epilepsy. Left sided weakness for one day. Stroke?

Patient Data

Age: 45 years
Gender: Female
CT

Open grey matter lined cleft with CSF density extending from the right lateral ventricular body to frontoparietal cortex peripherally.

Absent cavum septum pellucidum.

Age related involutional change.

MRI

Open grey matter lined cleft with CSF density extending from the right lateral ventricular body to frontoparietal cortex peripherally.

Absent cavum septum pellucidum.

Age related involutional change.

Case Discussion

Schizencephaly is divided into two morphological types: open and closed lip

With open lip, as in this case, the cleft walls are separated and filled with CSF.  The frontoparietal region is the commonest location as in this patient.

Its is one of the structural causes of epilepsy.

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Case information

rID: 59314
Published: 3rd Apr 2018
Last edited: 3rd Apr 2018
Tag: ripas2
Inclusion in quiz mode: Included

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