Volume 45, Issue 6 pp. 798-801
Brief Communication

The postmigrational development of polymicrogyria documented by magnetic resonance imaging from 31 weeks' postconceptional age

Terrie E. Inder MD

Terrie E. Inder MD

Department of Neurology, Children's Hospital and Harvard Medical School, Boston, MA

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Petra S. Huppi MD

Petra S. Huppi MD

Joint Program in Neonatology, Harvard Medical School and Department of Pediatrics, University of Geneva, Geneva, Switzerland

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Gary P. Zientara PhD

Gary P. Zientara PhD

Department of Radiology and Magnetic Resonance Imaging Division, Brigham and Women's Hospital and Harvard Medical School, Boston, MA

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Ferenc A. Vjolesz MD

Ferenc A. Vjolesz MD

Department of Radiology and Magnetic Resonance Imaging Division, Brigham and Women's Hospital and Harvard Medical School, Boston, MA

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Erik E. Holling BA

Erik E. Holling BA

Joint Program in Neonatology, Harvard Medical School and Department of Pediatrics, University of Geneva, Geneva, Switzerland

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Richard Robertson MD

Richard Robertson MD

Division of Neuroradiology, Department of Radiology, Children's Hospital and Harvard Medical School, Boston, MA

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Patrick D. Barnes MD

Patrick D. Barnes MD

Division of Neuroradiology, Department of Radiology, Children's Hospital and Harvard Medical School, Boston, MA

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Joseph J. Volpe MD

Corresponding Author

Joseph J. Volpe MD

Department of Neurology, Children's Hospital and Harvard Medical School, Boston, MA

Neurology Department, Fegan 1103, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115Search for more papers by this author

Abstract

We report the case of a 27-week premature infant in whom magnetic resonance imaging (MRI) at 4 postnatal weeks (postconceptional age, 31 weeks), term, and 6 months of age documented the postnatal postmigrational evolution of bilateral perisylvian polymicrogyria. The polymicrogyria was readily detected by ultrafine 1.5-mm coronal slices on three-dimensional, Fourier-transformed, spoiled gradient–recalled and T2-weighted MRI sequences. These MRI sequences provide the first in vivo documentation of the postmigrational evolution of polymicrogyria. The likelihood that the polymicrogyria was related to an ischemic encephaloclastic mechanism is supported by the simultaneous occurrence of periventricular leukomalacia. Ann Neurol 1999;45:798–801

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