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Short case publication... Version 3.4| Edited by professor Yasser Metwally | October 2009




                                                                                                     Short case

                                                                                                    Edited by
                                                                                            Professor Yasser Metwally
                                                                                              Professor of neurology
                                                                                          Ain Shams university school of medicine
                                                                                                     Cairo, Egypt

                                                                                               Visit my web site at:
                                                                                            http://yassermetwally.com




10 years old male patient presented clinically with mental subnormality, Lennox-Gastaut syndrome.


DIAGNOSIS: CORTICAL/CEREBELLAR DYSPLASIA
Figure 1. Precontrast MRI T1 images showing lissencephaly with mild central atrophy, cerebellar vermial
hypoplasia and vertically orientated folia instead of the normal horizontal folia pattern.




Figure 2. Precontrast MRI T1 images and MRI T2 image (C) showing cerebellar hypoplasia, vermial hypoplasia,
possible subependymal nodular heterotopia and vertically orientated folia instead of the normal horizontal folia
pattern.
Figure 3. MRI showing a mild form of lissencephaly (pachygyria), the brain have a few broad, flat gyri
with thick cortex and separated by shallow sulci (pachygyria). The cerebellum and the brain stem are
hypoplastic, the brain volume is also reduced especially the temporal lobes. In particular there
Hypoplasia of the cerebellar vermis and Vertically orientated folia instead of the normal horizontal folia
pattern.



References

1. Metwally, MYM: Textbook of neurimaging, A CD-ROM publication, (Metwally, MYM editor) WEB-CD agency for
electronic publishing, version 10.4a October 2009



Addendum

   A new version of short case is uploaded in my web site every week (every Saturday and remains available till Friday.)
   To download the current version follow the link "http://pdf.yassermetwally.com/short.pdf".
   You can download the long case version of this short case during the same week from: http://pdf.yassermetwally.com/case.pdf or visit web
   site: http://pdf.yassermetwally.com
   To download the software version of the publication (crow.exe) follow the link: http://neurology.yassermetwally.com/crow.zip
   At the end of each year, all the publications are compiled on a single CD-ROM, please contact the author to know more
   details.
   Screen resolution is better set at 1024*768 pixel screen area for optimum display
   For an archive of the previously reported cases go to www.yassermetwally.net, then under pages in the right panel,
   scroll down and click on the text entry "downloadable short cases in PDF format"
   Also to view a list of the previously published case records follow the following link (http://wordpress.com/tag/case-
   record/) or click on it if it appears as a link in your PDF reader

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Short case...Cortical/cerebellar dysplasia

  • 1. Short case publication... Version 3.4| Edited by professor Yasser Metwally | October 2009 Short case Edited by Professor Yasser Metwally Professor of neurology Ain Shams university school of medicine Cairo, Egypt Visit my web site at: http://yassermetwally.com 10 years old male patient presented clinically with mental subnormality, Lennox-Gastaut syndrome. DIAGNOSIS: CORTICAL/CEREBELLAR DYSPLASIA
  • 2. Figure 1. Precontrast MRI T1 images showing lissencephaly with mild central atrophy, cerebellar vermial hypoplasia and vertically orientated folia instead of the normal horizontal folia pattern. Figure 2. Precontrast MRI T1 images and MRI T2 image (C) showing cerebellar hypoplasia, vermial hypoplasia, possible subependymal nodular heterotopia and vertically orientated folia instead of the normal horizontal folia pattern.
  • 3. Figure 3. MRI showing a mild form of lissencephaly (pachygyria), the brain have a few broad, flat gyri with thick cortex and separated by shallow sulci (pachygyria). The cerebellum and the brain stem are hypoplastic, the brain volume is also reduced especially the temporal lobes. In particular there Hypoplasia of the cerebellar vermis and Vertically orientated folia instead of the normal horizontal folia pattern. References 1. Metwally, MYM: Textbook of neurimaging, A CD-ROM publication, (Metwally, MYM editor) WEB-CD agency for electronic publishing, version 10.4a October 2009 Addendum A new version of short case is uploaded in my web site every week (every Saturday and remains available till Friday.) To download the current version follow the link "http://pdf.yassermetwally.com/short.pdf". You can download the long case version of this short case during the same week from: http://pdf.yassermetwally.com/case.pdf or visit web site: http://pdf.yassermetwally.com To download the software version of the publication (crow.exe) follow the link: http://neurology.yassermetwally.com/crow.zip At the end of each year, all the publications are compiled on a single CD-ROM, please contact the author to know more details. Screen resolution is better set at 1024*768 pixel screen area for optimum display For an archive of the previously reported cases go to www.yassermetwally.net, then under pages in the right panel, scroll down and click on the text entry "downloadable short cases in PDF format" Also to view a list of the previously published case records follow the following link (http://wordpress.com/tag/case- record/) or click on it if it appears as a link in your PDF reader