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DYKE-DAVIDOFF-MASSON SYNDROME - TYPICAL IMAGING FEATURES.

Mladen Bjelan, Dusko Kozic, Vesna Njagulj

    Medicinski Pregled
    |April 26, 2018
    PubMed
    Summary

    Dyke-Davidoff-Masson syndrome, a rare neurological disorder, can cause seizures and developmental delays. Magnetic resonance imaging (MRI) is crucial for diagnosing this condition, revealing characteristic brain and sinus abnormalities.

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    Area of Science:

    • Neurology
    • Radiology
    • Medical Imaging

    Background:

    • Dyke-Davidoff-Masson syndrome is a rare neurological disorder characterized by seizures, mental retardation, motor weakness, and body asymmetry.
    • Neuroimaging typically reveals cerebral hemiatrophy with ipsilateral paranasal sinus hyperpneumatization.

    Observation:

    • A 17-year-old male presented with severe headache and a history of partial epileptic seizures.
    • Neuropsychological evaluation indicated mild mental retardation, speech and reading difficulties, and right-sided hemiparesis.
    • Magnetic resonance imaging (MRI) confirmed Dyke-Davidoff-Masson syndrome, showing left frontal lobe atrophy, ventricular widening, and ipsilateral sinus hypertrophy.

    Findings:

    • MRI is the key diagnostic tool for Dyke-Davidoff-Masson syndrome.
    • Characteristic findings include cerebral hemiatrophy, ipsilateral sinus hypertrophy, and ventricular changes.
    • The case highlights MRI's role in identifying rare causes of seizures.

    Implications:

    • Accurate diagnosis of Dyke-Davidoff-Masson syndrome through MRI enables timely management.
    • Understanding the neuroimaging features aids in differentiating it from other neurological conditions.
    • This case underscores the importance of integrating clinical and imaging findings for diagnosing rare disorders.