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Research ArticlePediatrics
Open Access

Developmental Differences of the Major Forebrain Commissures in Lissencephalies

S. Kara, P. Jissendi-Tchofo and A.J. Barkovich
American Journal of Neuroradiology October 2010, 31 (9) 1602-1607; DOI: https://doi.org/10.3174/ajnr.A2133
S. Kara
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P. Jissendi-Tchofo
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A.J. Barkovich
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  • Fig 1.
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    Fig 1.

    T1-weighted midsagittal image shows a hypogenetic CC in a patient with (p)LIS1. The rostrum is absent, the inferior part of the genu is small, and the splenium is thin. Note that splenium is also vertical; this was a common finding in classic lissencephalies. A normal AC is seen (arrow).

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    Fig 2.

    Midline sagittal T1-weighted image of a patient with a VLDLR; this is a dysmorphic CC with an abnormal shape and a convex upward callosal body configuration. The brain stem and vermis are hypoplastic, and the tentorium is displaced inferiorly. The AC is small (arrow).

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    Fig 3.

    Midsagittal T1-weighted image of a patient with the muscle-eye-brain disease phenotype of dystroglycanopathy. The splenium is thin, and the body is arched. This type of CC was classified as having a convex upward callosal body shape. Note the small pons, large tectum, and dysmorphic cerebellar vermis. The AC is normal (arrow); the patient has hydrocephalus.

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    Fig 4.

    The image of the (p)LIS case shows no rostrum, a small inferior genu, a flat corpus, and a vertically angled splenium. The case was classified as having a thin flat body and a vertical splenium shape. The CC has a sharp angle (approximately 90°) between the flat callosal body and the splenium. A small AC is seen (arrow).

Tables

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  • Significant differences among the major types of lissencephalies for each structure and specific features

    StructureGroups Compared and Associated FeaturesP Value
    SpleniumcLIS, vertical or thin<.001
    vLIS, absent or thin, and small
    Brain involvementcLIS, pachygyria (P > A, central, A > P)<.001
    vLIS, pachygyria entire brain
    MyelinationcLIS, normal<.001
    vLIS, delayed
    CC genucLIS, small inferior or N.002
    vLIS, absent or small inferior
    CBSC, normal genu
    HCcLIS, normal.003
    ACcLIS, normal or small.047
    vLIS, absent
    CC bodycLIS, normal or flat thin.011
    vLIS, convex upward
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American Journal of Neuroradiology: 31 (9)
American Journal of Neuroradiology
Vol. 31, Issue 9
1 Oct 2010
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Cite this article
S. Kara, P. Jissendi-Tchofo, A.J. Barkovich
Developmental Differences of the Major Forebrain Commissures in Lissencephalies
American Journal of Neuroradiology Oct 2010, 31 (9) 1602-1607; DOI: 10.3174/ajnr.A2133

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Developmental Differences of the Major Forebrain Commissures in Lissencephalies
S. Kara, P. Jissendi-Tchofo, A.J. Barkovich
American Journal of Neuroradiology Oct 2010, 31 (9) 1602-1607; DOI: 10.3174/ajnr.A2133
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