Dyke-Davidoff-Masson syndrome: unusual cause of hemiplegic cerebral palsy

Sharawat, Indar Kumar; Suthar, Renu; Sankhyan, Naveen

doi:10.1136/bcr-2019-229862

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…The CT scan of this child showed left cerebral atrophy with ipsilateral lateral ventricular dilatation. This is in line with more observation of left cerebral atrophy in other studies (Sharawat et al, 2019).…”

Section: Discussionsupporting

confidence: 93%

“…Computer tomography (CT) scan may demonstrate unilateral cerebral atrophy, increased sulci, ipsilateral ventricular dilatation, skull thickening, elevation of petrous sinuses and midline shift on the ipsilateral side of the atrophy (Piro et al, 2013). DDMS has also been known to present as hemiplegic cerebral palsy with focal seizure (Sharawat et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Dyke-Davidoff-Masson Syndrome as a rare congenital hemiatrophy: a case report

Nwako¹,

Nwolisa

Nwako

et al. 2021

Tanzania J Hlth Res

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Introduction: Dyke-Davidoff-Masson syndrome (DDMS) is a rare condition in childhood with very few cases reported in sub-Saharan Africa. Typically, the patient presents with facial asymmetry, seizures, and hemiparesis. Radiological findings include cerebral hemiatrophy, ipsilateral lateral ventricular dilatation, and hypertrophy of the calvarium and sinuses. Case presentation: We present the report of a 3-year-old male with weakness of right upper and lower limbs, facial asymmetry, and seizures. Physical examination showed a well-nourished child with a squint of the right eye. There were brisk tendon reflexes with right-sided hemiplegia which is spastic with left limb preference. Computer tomography of the brain showed atrophy of the left cerebral hemisphere, ipsilateral lateral ventricular dilatation, and thickening of the ipsilateral cranium. The diagnosis of Dyke-Davidoff-Masson syndrome was made. He was treated with sodium valproate and lamotrigine and presently physiotherapy and he had remained seizure-free. Conclusion: Dyke-Davidoff-Masson syndrome still affects children despite being a rare condition. There is a need for appropriate clinical and radiological assessment for the diagnosis of DDMS. Early identification and appropriate treatment will improve the general outcome of children with DDMS.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Dyke-Davidoff-Masson Syndrome as a rare congenital hemiatrophy: a case report

Nwako¹,

Nwolisa

Nwako

et al. 2021

Tanzania J Hlth Res

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“…Typowe cechy DDMS w badaniach obrazowych to: przesunięcie linii środkowej mózgu, poszerzenie szczeliny Sylwiusza, połowiczna aplazja/hipoplazja mózgu, tożstronne do zaniku mózgu pogrubienie kości czaszki, poszerzenie komory bocznej oraz hiperpneumatyzacja kości czołowej, sitowej czy wyrostka sutkowatego (Abdul Rashid i Md Noh, 2018; Ganvir et al, 2023;Tan et al, 2018;Younas et al, 2020). Do innych wskazywanych w literaturze cech DDMS zalicza się: bruzdy korowe, hipoplazję jądra soczewkowatego, zanik rozwojowy móżdżku, zwojów podstawy mózgu, zwyrodnienie Wallera konaru mózgu, zanik wzgórza, uniesienie wyrostka skalistego i skrzydła kości klinowej (AlHatmi et al, 2023;Dhawan et al, 2023;Djimdé et al, 2022;Sharawat et al, 2019). Występowanie tych zmian można wyjaśnić poprzez mechanizm wzrostu czaszki i mózgowia.…”

Section: Diagnostykaunclassified

Dyke–Davidoff–Masson syndrome – a review of the literature

Potyrała,

Krawczuk,

Bieniasz

et al. 2023

Aktualn Neurol

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Dyke–Davidoff–Mason syndrome is an extremely rare medical condition that results from brain damage occurring during foetal life or early childhood. The aetiology of the syndrome can be congenital or acquired. The clinical presentation of the syndrome is variable, and depends on the extent of damage to the central nervous system. It most commonly manifests as epileptic seizures, intellectual disability, and hemiparesis/hemiplegia, which is usually preceded by the first seizure. It is suspected that intellectual impairment is a consequence of epilepsy. The spectrum of symptoms also includes psychiatric conditions, particularly psychotic disorders and mood disorders. Radiological manifestations of the syndrome include midline cerebral shift, widening of the Sylvian fissure, hemispheric aplasia/hypoplasia of the brain, ipsilateral cranial bone thickening, lateral ventricle enlargement, as well as hyperpneumatisation of the frontal and sphenoid bones, and the mastoid process. Diagnosis is mainly based on imaging tests such as computed tomography and magnetic resonance imaging, as well as neurological examination and electroencephalography. During the patient’s history-taking, particular attention should be paid to pregnancy history and the childhood period in order to identify potential etiological factors. No characteristic changes in laboratory tests indicating Dyke–Davidoff–Mason syndrome have been found. Treatment is primarily symptomatic. The greatest challenge for physicians is the control of epileptic seizures. Conservative treatment is initially employed. If proven to be ineffective, surgical treatment should be considered.

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