Long standing epilepsy. Started in right hand.
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MRI of the brain demonstrates an extensive area of developmental malformation which involves the posterosuperior margins of the left Sylvan fissure. This is characterised by abnormal cortical thickening and a nodular surface and grey-white matter interface. No cleft or grey matter heterotopia noted. Septum pellucidum is present.
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This case demonstrates typical appearance of polymicrogyria which in this case is unilateral.