American Journal of Neuroradiology 24:1468-1470, August 2003
© 2003 American Society of Neuroradiology
Case Report
PEDIATRIC
Neuroimaging Features of Epidermal Nevus Syndrome
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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