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Journal of Child Neurology
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Hemihydranencephaly: Case Report and Literature Review

Filippo Greco, MD

Division of Pediatric Neurology, Department of Pediatrics University of Catania, Catania, Italy

Maria Finocchiaro, MD

Division of Pediatric Neurology, Department of Pediatrics University of Catania, Catania, Italy

Piero Pavone, MD

Division of Pediatric Neurology, Department of Pediatrics University of Catania, Catania, Italy

Rosario R. Trifiletti, MD

Department of Neurology, Neuroscience and Pediatrics, The New York Hospital-Cornell, University Medical Center New York, New York

Enrico Parano, MD, IBFSNC

The National Research Council of Italy-CNR Catania, Italy

Hydranencephaly is a severe brain condition characterized by complete or almost complete absence of cerebral cortex with preservation of meninges, basal ganglia, pons, medulla, cerebellum, and falx. It has been ascribed to different causes (infections, irradiations, fetal anoxia, medications, twin-twin transfusion), all leading to vascular disruption. Hemihydranencephaly is an extremely rare condition in which the vascular anomaly is unilateral. We report on a patient who was suspected to have hydrocephalus in utero; a brain magnetic resonance imaging scan showed left-sided hydranencephaly with preservation of basal ganglia. The patient developed signs of right hemiparesis but notably has only mild language delay. The available literature on hemihydranencephaly is reviewed. (J Child Neurol 2001;16:218-221).

Journal of Child Neurology, Vol. 16, No. 3, 218-221 (2001)
DOI: 10.1177/088307380101600311


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