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The neuronal migration disorders comprise several morphological entities that are recognizable during life using current imaging techniques.We studied 4 patients who had a characteristic bilateral central rolandic and sylvian macrogyria.The patients had pseudobulbar palsy with oromotor incoordination and developmental delay and were mildly retarded.Minor seizures developed between the ages of 8 and 9 years.Subsequently,atonic drop attacks became the predominant epileptic pattern.Epileptogenic electrographic abnormalities were secondary generalized or multifocal.The lesions were detected by computed tomography and magnetic resonance imaging in all patients.Bilateral symmetrical areas of thick cortex surrounding a large sulcus were seen.This syndrome consists of specific clinical,imaging,electroencephalographic,and epileptic features.It can be suspected clinically and confirmed by imaging studies.Callosotomy in two patients helped the intractable seizures. |
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CAT scan
CAT scan,abnormal
cytoarchitectonics,cerebral cortex
developmental abnormality of brain
developmental retardation
electroencephalogram
electroencephalogram,abnormalities of
heterotopia
malformation,CNS,congenital
mental retardation
MRI
MRI,abnormal
neuronal migration disorder
operculum syndrome
operculum syndrome,bilateral
pachygyria
pseudobulbar palsy
seizure
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