Case contributed by Dr Huda B. Gharbia


Spastic epilepsy

Patient Data

Age: 6 years
Gender: Female

There is cortical thining in paramidline in both occipital lobes and right parietal lobe, with underlying subcortical white matter hyperintensity in both T2W and FLAIR sequences, shine through DW/ADC, denoting focal gliosis and atrophy.

Case Discussion

Paramidline focal gyrial thining and atrophy with subcortical white matter gliosis, giving mushroom-like shaped cortex. This is also known as ulegyria, and is suggestive of chronic ischemic insult.

PlayAdd to Share

Case information

rID: 64595
Published: 30th Nov 2018
Last edited: 18th Mar 2021
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.