Periventricular heterotopia.
نویسندگان
چکیده
A 34-year-old epilepsy woman had first seizure when aged 14. Seizure patterns are mainly simple partial type, presented by a sense of air within chest wall rising to head or focal twitching of right hand. She also had generalized tonicclonic seizures before. In recent four years, she did not experience generalized seizure although simple partial seizures were noted average four to five times a month. Her mentality is normal without family history of seizure. Birth history revealed full term with normal development milestone. Interictal scalp electroencephalography (EEG) showed focal spikes in left centrotemporal area and brief generalized sharp waves. Brain MRI without contrast demonstrated small subependymal nodules protruding into lateral ventricles, indicating periventricular heterotopias (Fig.). Heterotopia is a neuronal migration disorder, classified as malformations of cortical development. It results from failure of neurons radially migrate to their proper cortex. The most common form is periventricular nodular heterotopias due to accumulation of these neurons in subependymal (periventricle) areas. Other subcategories encompass localized or generalized abnormalities of transmantle migration, which are mainly subcortical heterotopias and lissencephalies respectively; and terminal migration defects in pial limiting membrane. Epilepsy is the invariable symptom. Cognitive function impairment is usually seen in bilateral diffuse group while less common in unilateral focal heterotopias. Differential diagnosis include subependymal giant cell astrocytoma and hamartoma of tuberous clerosis. Subependymal
منابع مشابه
Abnormalities of cortical development and epilepsy
− The pre-natal administration of methylazoxymethanol acetate (MAM) in rats is able to induce cerebral heterotopia that share striking similarities with those observed in human periventricular nodular heterotopia, a cerebral dysgenesis frequently associated with drug-resistant focal seizures. In the present study, we investigated the mode of neurogenesis in cerebral heterotopia of MAM-treated r...
متن کاملSTEREOLOGICAL ASSESSMENT OF THE THALAMUS IN A RAT MODEL OF PERIVENTRICULAR NODULAR HETEROTOPIA By
متن کامل
Reading impairment in the neuronal migration disorder of periventricular nodular heterotopia.
OBJECTIVE To define the behavioral profile of periventricular nodular heterotopia (PNH), a malformation of cortical development that is associated with seizures but reportedly normal intelligence, and to correlate the results with anatomic and clinical features of this disorder. METHODS Ten consecutive subjects with PNH, all with epilepsy and at least two periventricular nodules, were studied...
متن کاملPeriventricular heterotopia may result from radial glial fiber disruption.
Periventricular heterotopia (PVH) are collections of neurons and glia heterotopically located adjacent to the ventricles. The pathogenesis of periventricular heterotopia is believed to be a failure of cells to migrate from the ventricular zone. Mutations in filamin-1 (FLN1) have recently been identified as a genetic defect that results in an X-linked dominant form of PVH. In addition to this X-...
متن کاملAbsence epilepsy and periventricular nodular heterotopia
We report a case of a girl who presented with typical absence seizures at age of 4.5 years. EEG showed absence seizures of sudden onset with 3 Hz spike-and-waves that also correlated with the clinical absences. The seizure semiology included subtle deviation of the eyes which prompted MRI investigation of the brain. This showed a periventricular nodular heterotopia in the mid to anterior horn o...
متن کاملInfantile spasms with periventricular nodular heterotopia, unbalanced chromosomal translocation 3p26.2 ‐10p15.1 and 6q22.31 duplication
Patients presenting with infantile spasms, dysmorphic features, and periventricular nodular heterotopia may benefit from genetic copy number variation microarray, or whole-exome sequencing to identify candidate genes. This will allow personalized diagnosis and prognostication and the eventual understanding of single and combined gene functions in brain health and disease.
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Acta neurologica Taiwanica
دوره 22 4 شماره
صفحات -
تاریخ انتشار 2013