Bilateral neuropathologic changes in a child with hemimegalencephaly.

Abstract:

:Evaluation of a 7-month-old girl with developmental delay and intractable seizures revealed hemispheric asymmetry and an enlarged right cerebral hemisphere. Because of a history of seizures refractory to medical therapy, she was admitted for right hemispherectomy, but died of complications of surgery. Postmortem brain examination revealed asymmetric enlargement of the right cerebral hemisphere but no gross abnormalities in the left hemisphere. Microscopic examination demonstrated bilateral neuropathologic changes consistent with severe cortical dysplasia in the right cerebral hemisphere and mild cortical dysplasia in the left. Although white matter abnormalities in the unaffected hemisphere have been reported in hemimegalencephaly, bilateral cortical abnormalities, not reported previously in patients with hemimegalencephaly, may account for the varied clinical outcome with medical therapy or after hemispherectomy.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Jahan R,Mischel PS,Curran JG,Peacock WJ,Shields DW,Vinters HV

doi

10.1016/s0887-8994(97)00091-x

subject

Has Abstract

pub_date

1997-11-01 00:00:00

pages

344-9

issue

4

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(97)00091-X

journal_volume

17

pub_type

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