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Radiological imaging findings of Dyke–Davidoff–Masson syndrome

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Abstract

Radiological findings of Dyke–Davidoff–Masson syndrome (DDMS) in patients with different etiologies are presented in our study. The study included 12 patients (seven females, five males) for whom radiological examinations were requested due to reasons such as epilepsy, mental retardation, and/or hemiplegia. CT was performed in 12, MRI in 6, MRA in 1, and DSA in 1 patient. Following imaging findings were evaluated: cerebral and cerebellar involvement (laterality, encephalomalacia), affected territories, ventricular enlargement, sulcal enlargement, calvarial thickening, and paranasal sinus enlargement hyperaeration. Age range of the patients was 5–62 (mean 34.1 ± 21.7). Left hemicrania was affected in eight patients, right hemicrania in four. Ipsilateral calvarial thickening and lateral ventricular dilatation were observed in all patients. 11 patients had ipsilateral frontal sinus hyperaeration, sulcal enlargement and encephalomalacia. Wallerian degeneration of the mesencephalon and middle fossa hypoplasia was seen in ten patients, mastoid hyperaeration, third ventricular enlargement and thalamic involvement in nine, and corpus callosum, basal ganglion injury, and sphenoid sinus hyperaeration in eight. MCA, ACA, and PCA territories were involved in six patients. Only MCA territory involvement was seen in four patients. Cerebellar atrophy was contralateral in two patients. Symmetric bilateral atrophy was observed in one patient. DDMS can be encountered with different radiological findings based on cerebral damage formation process and the extent of damage. Patients may have different levels of cerebral hemiatrophy, ipsilateral carvarial thickening, and lateral ventricular dilatation.

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Authors and Affiliations

  1. Gaziosmanpaşa University Medicine School, Merkez, Tokat, Turkey

    Erkan Gökçe

  2. Department of Radiology, Tokat State Hospital, Tokat, Turkey

    Murat Beyhan

  3. Department of Radiology, Medical School, Atatürk University, Erzurum, Turkey

    Recep Sade

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  1. Erkan Gökçe
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  2. Murat Beyhan
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  3. Recep Sade
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Correspondence to Erkan Gökçe.

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All information of this article is in accordance with national and international ethical standards. The manuscript has not been submitted to other journals for simultaneous consideration. Consent to publish has been received from all the authors. Authors whose names appear in the article have contributed sufficiently to the scientific work, and therefore share collective responsibility and accountability for the results. No personal details about the concerned patient was included in the article.

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The ethical committee of Gaziosmanpaşa University (Tokat) approved the study.

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Gökçe, E., Beyhan, M. & Sade, R. Radiological imaging findings of Dyke–Davidoff–Masson syndrome. Acta Neurol Belg 117, 885–893 (2017). https://doi.org/10.1007/s13760-017-0778-7

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