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Case Report
PEDIATRIC

Neuroimaging Features of Epidermal Nevus Syndrome

Wenbo Zhanga, Panagiotis G. Simosa, Hideaki Ishibashia, James W. Whelessb,c, Eduardo M. Castilloa, Joshua I Breiera, James E. Baumgartnerb, Michele E. Fitzgeralda and Andrew C. Papanicolaoua

a Department of Neurosurgery, Vivian L. Smith Center for Neurologic Research, Texas Comprehensive Epilepsy Program, The University of Texas Health Science Center at Houston, Houston, TX
b Department of Pediatrics, Vivian L. Smith Center for Neurologic Research, Texas Comprehensive Epilepsy Program, The University of Texas Health Science Center at Houston, Houston, TX
c Department of Neurology,Vivian L. Smith Center for Neurologic Research, Texas Comprehensive Epilepsy Program, The University of Texas Health Science Center at Houston, Houston, TX

Address reprint requests to Wenbo Zhang, MD, PhD, Vivian L. Smith Center for Neurologic Research, Section of Clinical Neuroscience, Department of Neurosurgery, The University of Texas Health Science Center at Houston, 1133 Moursund Street Suite H114, Houston, TX 77030

Summary: Epidermal nevus syndrome is a kind of neurocutaneous syndrome that is associated with epidermal nevus and a variety of congenital CNS disorders. Clinical presentations include seizures, paresis, mental retardation, and developmental delay. We report three cases with MR imaging and magnetoencephalography findings; one patient underwent ictal and interictal single photon emission CT. Both structural and functional imaging studies indicated that the frontal lobes had lesser involvement or were intact. One patient underwent hemispherectomy because of the medically intractable seizure. He remained seizure free with topiramate monotherapy.




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M. Canyigit and K.K. Oguz
Epidermal Nevus Syndrome with Internal Carotid Artery Occlusion and Intracranial and Orbital Lipomas
AJNR Am. J. Neuroradiol., August 1, 2006; 27(7): 1559 - 1561.
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