22 month old with microphthalmia

This is unpublished
T1 Axial.
T1 Axial
T2 Axial.
T2 Axial

Findings:

Bilateral thickened gryi particularly in the frontal lobes

DDX:

pachygyria, lissencephaly, polymicrogyria


Diagnosis:

Symmetric Pachygyria

Discussion:

The term ‘pachygyria’ is not specific to a particular malformation but describes the gross physical appearance of the brain in association with several neuronal migration disorders – most commonly disorders relating to varied degrees of lissencephaly.


Submitted by Kevin Stevenson, MD, UW Neuroradiology Fellow