Presentation
The fronto-temporo-parietal opercula present an abnormally open appearance, which is frequently associated with an overlying large anomalous venous structure. CT may show abnormal sylvian fissures and thickened adjacent cortex. [moh-it.pure.elsevier.com]
Acronym BTOP Disclaimer Any medical or genetic information present in this entry is provided for research, educational and informational purposes only. [uniprot.org]
Several patients presented deficits in neuropsychological tasks requiring performance under time constraints, suggesting that this malformation may result in cognitive slowing. [neuroscienceandgenetics.it]
In more severe forms, focal motor, sensory, visual, or cognitive problems may be present, depending on the location of the brain region affected. [ipfs.io]
Large subcortical perivascular spaces were present. The superior vermis, cerebellar hemispheres, and ventral pons were small, as was the splenium of the corpus callosum. [cags.org.ae]
Course
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Severe Clinical Course
Not surprisingly, patients with more extensive cortical involvement seemed to have the most severe clinical course. [ajnr.org]
Eyes
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Retinal Pigmentation
There was diffuse retinal pigment epithelium (RPE) atrophy with tessellated background, arteriolar attenuation, and choroidal sclerosis in both the eyes [Figure 1] g. There were no RPE clumps or bony spicules. [annalsofian.org]
Psychiatrical
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Aggressive Behavior
Affiliated tissues include brain, and related phenotypes are ventriculomegaly and aggressive behavior [malacards.org]
Back to: « Polymicrogyria Symptoms of Polymicrogyria, bilateral temporooccipital Clinical features : Imported from Human Phenotype Ontology (HPO) Abnormality of the nervous system Aggressive behavior Focal seizures with impairment of consciousness or [familydiagnosis.com]
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Behavior Disorder
This comprehensive, authoritative text has a bench to bedside, approach that covers: The mechanisms underlying epilepsy and behavior Neurophysiologic function Neuropsychiatric and behavioral disorders in patients with epilepsy The effects of treatments [books.google.com]
Neurologic
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Dysmetria
All three had esotropia, increased muscle tone, mild truncal ataxia, and finger dysmetria, without dysmorphic features or other congenital anomalies. They also had strabismus. [cags.org.ae]
Bilateral holosylvian, generalization, onset at normal neurologic findings parietal, parieto oc- age 9 mo; EEG that shows cipital multifocal spikes, diffuse Severe global delay; hypotonia of legs more than slow waves. arms; hyperreflexia, nystagmus, dysmetria [fliphtml5.com]
Autism Nys, A Thin CC; CD50 M/19 E/15 y Foc SF N N CDAbbreviations: A ataxia; ACF abnormal cortical folding; CC corpus callosum; CD cerebellar dysgenesis; CVD cerebellar vermis dysgenesis; DDdevelopmental delay; DW daily-weekly; Dys dysarthria; Dysm dysmetria [documents.tips]
Encephalocele Cerebellar vermis hypoplasia Postaxial polydactyly Thick vermilion border Polydactyly Absent speech Rod-cone dystrophy Minimal change glomerulonephritis Abnormality of the head Focal segmental glomerulosclerosis Glomerulosclerosis Narrow forehead Dysmetria [mendelian.co]
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Truncal Ataxia
All three had esotropia, increased muscle tone, mild truncal ataxia, and finger dysmetria, without dysmorphic features or other congenital anomalies. They also had strabismus. [cags.org.ae]
Fig. 11.13 Rhombencephalosynapsis, 9-year-old patient with truncal ataxia and psychomotor delay. MR at 0.5 T. [mrineonatalbrain.com]
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Cognitive Developmental Delay
Clinical features included motor and cognitive developmental delay, esotropia, strabismus, pyramidal signs, and seizures. [cags.org.ae]
Onset
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Onset at Age <20
[…] at age 20 mo; EEG bilateral lay18 M/6 y rieto occipital central spikes Partial complex seizures, on- Motor and speech delay as young child, pres- Bilateral frontal, sylvian set at age 6 mo; EEG that ently has mild hyperreflexia, poor gross and shows multifocal [fliphtml5.com]
Workup
EEG
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Multifocal Spikes
F/7 y an, parasagittal pari- multifocal spikes, back- slightly delayed eto occipital ground slow waves Partial complex seizures with Mild motor and cognitive delay. [fliphtml5.com]
Saliva
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Excessive Drooling
drooling, rior quadrant diminished tongue movements Moderate mental retardation (FSIQ ϭ 58); slow to walk and talk; presently, mild hypo- tonia in legs and arms; abnormal speech, limited palatal elevation and tongue move- ment Mild to moderate mental [fliphtml5.com]
Other findings typically include difficulties with tongue movement, expressive speech, and sucking and swallowing, as well as excessive drooling and facial diplegia as seen in the Worster-Drought syndrome. [ncbi.nlm.nih.gov]
Treatment
Sections dedicated to management and treatment are also included in an effort to aid clinicians in their goal of providing better care for individuals affected by these types of malformations. * A single source that encompasses the various aspects of [books.google.com]
It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]
Treatment plans will vary depending on the severity of the condition and its evidences in each patient. [ipfs.io]
Treatment and prognosis No specific treatment of polymicrogyria per se is available. Treatment is symptomatic and particularly aimed at controlling epilepsy, a common sequela. Related Radiopaedia articles Promoted articles (advertising) [radiopaedia.org]
Prognosis
Each sibling of the proband's parents is at a 50% risk of being a carrier [11] Prognosis Once the diagnosis of polymicrogyria has been established in an individual, the following approach can be used for discussion of prognosis: A pregnancy history should [ipfs.io]
[…] and other malformations may be associated with a poor prognosis. [jcnonweb.com]
Treatment and prognosis No specific treatment of polymicrogyria per se is available. Treatment is symptomatic and particularly aimed at controlling epilepsy, a common sequela. Related Radiopaedia articles Promoted articles (advertising) [radiopaedia.org]
Each child is unique in their presentation of the disorder, thus it is difficult to make a predictable prognosis for children with the diagnosis of PMG Diagnosis With increased use of imaging techniques such as MRI and CT, polymicrogyria is becoming more [presleyshalala.com]
The prognosis is poor. [icd10data.com]
Etiology
Lennox-Gastaut syndrome can be cryptogenic or symptomatic, but the symptomatic forms have been associated with multiple etiologies and abnormal cortical development. [ipfs.io]
The etiology of polymicrogyria is heterogeneous. The topographic arrangement of the lesions, the frequency of bilateral symmetry, and historical data may suggest a transient intrauterine perfusion failure in many patients. [cags.org.ae]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
The etiology of these dyskinetic movements (not orobuccal dyspraxia) was evaluated with cranial MRI. A small ischemic lesion was found in the mesencephalon. [onlinelibrary.wiley.com]
WDR62 and PIK3R2 Intrauterine cerebral injury, after approximately 20 weeks gestation, e.g. infection such as CMV, or hypoxia-ischemia Metabolic etiology e.g. peroxisomal disorders Bilateral perisylvian syndrome Bilateral perisylvian polymicrogyria can [epilepsydiagnosis.org]
Epidemiology
[…] and anatomical factors and clinical outcome in a series of 34 cases Enlaces Texto completo ( pdf ) Resumen Introduction The aim of our study is to describe the epidemiology, clinical evolution, and the anatomical and neurological factors involved in [dialnet.unirioja.es]
Neurology 76: 1548–1554 Google Scholar Kaderali Z, Lamberti-Pasculli M, Rutka JT (2009) The changing epidemiology of paediatric brain tumours: a review from the Hospital for Sick Children. [link.springer.com]
Relevant External Links for FIG4 Genetic Association Database (GAD) FIG4 Human Genome Epidemiology (HuGE) Navigator FIG4 Atlas of Genetics and Cytogenetics in Oncology and Haematology: FIG4 No data available for Genatlas for FIG4 Gene Mutation of FIG4 [genecards.org]
Tinkle BT, Schorry EK, Franz DN, Crone KR, Saal HM: Epidemiology of hemimegalencephaly: a case series and review. Am J Med Genet A 139:204-211 (2005). [karger.com]
Pathophysiology
The pathophysiological bases are heterogeneous and include extrinsicfactors and genetic causes. [docslide.com.br]
Somatic mosaicism is thought to be the underlying pathophysiology in ECCL.) [6] It usually presents with porencephalic cyst with cortical atrophy, cranial asymmetry, developmental delay, seizures, ipsilateral lipomatous hamartomas of the scalp, eyelid [pediatricneurosciences.com]
[…] free Our patient 8 M Colicky epigastric pain, nausea Pallor Few minutes to 1 hour Bilateral synchronous and asynchronous spikes and diphasic sharp-waves in temporal and central area, increased during drowsiness and sleep Carbamazepine Seizure free The pathophysiology [ijponline.biomedcentral.com]
Prevention
Various supportive measures such as joint contractures that could prevent complications. Genetic counseling may also be recommended [17] See also Epilepsy Phenome/Genome Project References "Bilateral Frontoparietal Polymicrogyria (BFPP)." [ipfs.io]
Mutations infilamin 1 prevent migration of cerebral cortical neurons in1250 Neurology 79 September 18, 2012human periventricular heterotopia. Neuron 1998;21:13151325.4. Wieck G, Leventer RJ, Squier WM, et al. [documents.tips]
Mutations in filamin 1 prevent migration of cerebral cortical neurons in human periventricular heterotopia. Neuron. 1998; 21 :1315–1325. [ PubMed ] [ Google Scholar ] 111. Cunningham CC., Gorlin JB., Kwiatkowski DJ., et al. [ncbi.nlm.nih.gov]
This deficiency prevents the breakdown of very long chain fatty acids (C 22:0), which then accumulate in tissue and plasma (17). [es.slideshare.net]
Fox JW, Lamperti ED, Ekşioğlu YZ, Hong SE, Feng Y, et al: Mutations in filamin 1 prevent migration of cerebral cortical neurons in human periventricular heterotopia. Neuron 21:1315-1325 (1998). [karger.com]