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Updated: Aug 16, 2026

Brain Infarct Segmentation and Registration on MRI or CT for Lesion-symptom Mapping
Published on: September 25, 2019
[MRI in the diagnosis of lissencephaly. Apropos of a case]
Abstract:
In a patient with clinical manifestations suggestive of brain malformation, CT showed lissencephaly with absent opercularization. The child had seizures but not a typical EEG of hypsarhythmia. MRI confirmed the diagnosis and showed heterotopic grey matter and abnormal basal ganglia. High grey-white matter contrast and the possibility of imaging the brain in sagittal, coronal and transverse planes make MRI the methode of choice for the evaluation of lissencephaly and other brain malformations.
Insights
This study highlights Magnetic Resonance Imaging (MRI) as the preferred method for diagnosing lissencephaly and other brain malformations, offering superior detail compared to CT scans.
Area of Science:
- Neuroimaging
- Developmental Neuroscience
- Neuroradiology
Background:
- Lissencephaly is a severe brain malformation characterized by a smooth brain surface due to defective neuronal migration.
- Clinical presentation can vary, often including seizures and developmental delays.
Observation:
- A patient presented with clinical signs of brain malformation.
- Computed Tomography (CT) revealed lissencephaly with absent opercularization.
- Electroencephalography (EEG) did not show typical hypsarrhythmia despite seizures.
Findings:
- Magnetic Resonance Imaging (MRI) confirmed lissencephaly.
- MRI identified associated anomalies: heterotopic grey matter and abnormal basal ganglia.
- MRI demonstrated high grey-white matter contrast and multiplanar imaging capabilities.
Implications:
- MRI is the imaging modality of choice for evaluating lissencephaly and other congenital brain malformations.
- Detailed anatomical visualization aids in diagnosis and understanding the spectrum of malformations.
- Advanced imaging techniques improve diagnostic accuracy in pediatric neurology.
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