Subependymal heterotopia

Case contributed by Mohamed Salah Ayyad
Diagnosis almost certain

Presentation

Seizures

Patient Data

Age: 25 years
Gender: Female
mri

A subependymal sheet of abnormal SI is seen along the occipital and temporal horns of the right lateral ventricle which is iso-intense to the cortex in all pulse sequences. A similar more miniature sheet is seen along the inferior medial aspect of the right temporal lobe.

Case Discussion

Subependymal heterotopia is characterized by nodules of gray matter located immediately beneath the ependyma of the lateral ventricular. In MRI, it appears as an ovoid or band-like nodule abutting the ventricular wall. It results in an irregular ventricular outline.

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