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Case Report
PEDIATRICS

Diffusion Tensor Imaging in Lissencephaly

Nancy Rollinsa,b, Tony Reyesa and Jon Chiac

a Department of Radiology, Children’s Medical Center, Dallas, TX
b University of Texas Southwestern Medical Center, Dallas, TX
c Philips Medical Systems, Best, the Netherlands

Address correspondence to Nancy Rollins, MD, Department of Radiology, Children’s Medical Center, 1935 Motor Street, Dallas, TX 75235

Summary: Lissencephaly is a rare brain malformation characterized histologically by arrested neuronal migration such that the brain resembles that of a fetus before 23–24 weeks gestation. We studied a neonate with lissencephaly by using diffusion tensor imaging and suggest the dysplastic densely cellular layer IV is visible as a band of anisotropic diffusion. Fiber tracking showed lack of connectivity between the cortex and deep white matter and an abnormal limbic system.




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