PT  - JOURNAL ARTICLE
AU  - K Terstegge
AU  - B Kunath
AU  - S Felber
AU  - J G Speciali
AU  - H Henkes
AU  - N Hosten
TI  - MR of brain involvement in progressive facial hemiatrophy (Romberg disease): reconsideration of a syndrome.
DP  - 1994 Jan 01
TA  - American Journal of Neuroradiology
PG  - 145--150
VI  - 15
IP  - 1
4099  - http://www.ajnr.org/content/15/1/145.short
4100  - http://www.ajnr.org/content/15/1/145.full
SO  - Am. J. Neuroradiol.1994 Jan 01; 15
AB  - PURPOSE To gain further insight into the pathogenesis of progressive facial hemiatrophy, a sporadic disease of unclear etiology characterized by shrinking and deformation of one side of the face. METHODS We investigated possible brain involvement. MR of the head and face was performed in three female patients with progressive facial hemiatrophy. The central-nervous-system findings were correlated to a clinical protocol and a review of the literature. RESULTS One patient with epilepsy had abnormal brain findings confined to the cerebral hemisphere homolateral to the facial hemiatrophy. These consisted of monoventricular enlargement, meningocortical dysmorphia, and white-matter changes. CONCLUSIONS These MR findings, and corresponding neuroradiologic data disclosed by the review, indicate that homolateral hemiatrophy occasionally occurs in a subgroup of patients with progressive facial hemiatrophy. The MR features do not seem consistent with an underlying simple or nutritive atrophic process. We propose chronic localized meningoencephalitis with vascular involvement as a possible underlying cause of the occasional brain involvement in progressive facial hemiatrophy.