PDF herunterladen
CC BY-NC-ND 4.0 · International Journal of Epilepsy 2018; 05(02): 104-106
DOI: 10.1055/s-0039-1683836
Case Report
Indian Epilepsy Society

Coexistence of Temporo-Occipital Polymicrogyria with Choroidal Fissure Cyst in a Case of Focal Onset Seizures

M. Kiran
1   Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
A. Karthik
1   Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
L. V. Lekshmi
1   Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
,
K. Nagarajan
1   Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Received: 12. Dezember 2018

Accepted after revision: 23. Januar 2019

Publikationsdatum:
19. März 2019 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Focal-onset seizures can be caused by underlying brain lesions including focal lesions such as granulomas, low-grade neoplasms, vascular lesions, or neuronal migration disorders. Polymicrogyria is a congenital abnormality of cortical formation occurring during embryonic life. Choroidal fissure cysts are either arachnoid or neuroepithelial cysts arising at the choroidal fissure, and mostly they are incidental findings having no significant clinical implications. Coexistence of both of these can lead to dilemma in the management decisions. We present a case of focal-onset seizures with an unreported coexistence of polymicrogyria with choroidal fissure cyst.

Keywords

polymicrogyria - choroidal fissure cyst - seizures - MRI
 

  • References

  • 1 Craven IJ, Griffiths PD, Bhattacharyya D. et al. 3.0 T MRI of 2000 consecutive patients with localisation-related epilepsy. Br J Radiol 2012; 85 (1017) 1236-1242
    CrossrefPubMedGoogle Scholar
  • 2 Jansen A, Andermann E. Genetics of the polymicrogyria syndromes. J Med Genet 2005; 42 (05) 369-378
    CrossrefPubMedGoogle Scholar
  • 3 Morioka T, Nishio S, Suzuki S, Fukui M, Nishiyama T. Choroidal fissure cyst in the temporal horn associated with complex partial seizure. Clin Neurol Neurosurg 1994; 96 (02) 164-167
    CrossrefPubMedGoogle Scholar
  • 4 Isolan GR, Bianchin MM, Torres CM, Bragatti JA, Assman JB, Falcetta FS. Temporal choroidal fissure cyst and temporal lobe epilepsy: report of two cases. J Epilepsy Clin Neurophysiol 2010; 16 (04) 167-169
    PubMedGoogle Scholar
  • 5 Tamayo JA, Ojea T, Hervás M, León A, Fernández O. [Neuroepithelial cyst of the choroid sulcus as a probable cause of symptomatic focal epilepsy]. Rev Neurol 1997; 25 (148) 2070-2071
    PubMedGoogle Scholar
  • 6 Bronen RA, Fulbright RK, Spencer DD. et al. Refractory epilepsy: comparison of MR imaging, CT, and histopathologic findings in 117 patients. Radiology 1996; 201 (01) 97-105
    CrossrefPubMedGoogle Scholar
  • 7 Leventer RJ, Jansen A, Pilz DT. et al. Clinical and imaging heterogeneity of polymicrogyria: a study of 328 patients. Brain 2010; 133 (Pt 5) 1415-1427
    CrossrefPubMedGoogle Scholar
  • 8 Mavili E, Coskun A, Per H, Donmez H, Kumandas S, Yikilmaz A. Polymicrogyria: correlation of magnetic resonance imaging and clinical findings. Childs Nerv Syst 2012; 28 (06) 905-909
    CrossrefPubMedGoogle Scholar
  • 9 de Jong L, Thewissen L, van Loon J, Van Calenbergh F. Choroidal fissure cerebrospinal fluid-containing cysts: case series, anatomical consideration, and review of the literature. World Neurosurg 2011; 75 (05) (06) 704-708
    CrossrefPubMedGoogle Scholar
  • 10 Wang PJ, Lin HC, Liu HM, Tseng CL, Shen YZ. Intracranial arachnoid cysts in children: related signs and associated anomalies. Pediatr Neurol 1998; 19 (02) 100-104
    CrossrefPubMedGoogle Scholar
  • 11 Rosich-Pla A, Smith BH, Sil R. Congenital arachnoid cyst with unusual clinical, radiological, and pathological findings. Ann Neurol 1977; 2 (05) 443-446
    CrossrefPubMedGoogle Scholar
  • 12 Holodny AI, George AE, Golomb J, de Leon MJ, Kalnin AJ. The perihippocampal fissures: normal anatomy and disease states. Radiographics 1998; 18 (03) 653-665
    CrossrefPubMedGoogle Scholar
  • 13 Zemmoura I, Velut S, François P. The choroidal fissure: anatomy and surgical implications. Adv Tech Stand Neurosurg 2012; 38: 97-113
    PubMedGoogle Scholar