Dyke-davidoff-masson综合征:儿童晚期的肌阵挛性发作和半肥厚:1例报告

Halil Ural Aksoy, Senem Ayça, Celil Yılmaz, M. Polat
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摘要

Dyke-Davidoff-Masson综合征(DDMS)是一种罕见的综合征,其特点是由于发育中的大脑受累并伴有大脑半球半萎缩而具有特殊的临床和放射学表现。1933年,戴克、大卫杜夫和马森在一系列九名患者中首次描述了这种综合征。综合征有先天性和后天两种形式,其病因因累及大脑而异。最常见的临床症状是局灶性或继发性全身性癫痫发作。在临床过程中还可出现偏瘫、面部不对称、智力障碍、智力迟钝和半肥厚。在磁共振成像(MRI)中,DDMS具有独特的放射学表现。癫痫发作通常难以治疗,治疗的目的是控制癫痫发作,提高精神和智力能力。2岁以后出现临床表现预后良好。
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DYKE-DAVIDOFF-MASSON SYNDROME: MYOCLONIC SEIZURES AND HEMIHYPERTROPHY IN LATE CHILDHOOD: A CASE REPORT
Dyke-Davidoff-Masson Syndrome (DDMS) is a rare syndrome characterized with specific clinical and radiological findings due to involvement of the developing brain with cerebral hemiatrophy of one hemisphere. The syndrome was first described from Dyke, Davidoff and Masson in 1933 in a series of nine patients. Syndrome has two forms, congenital and acquired forms and etiological factors vary due to involvement of the brain. Most common clinical symptom are focal or secondary generalized seizures. Hemiparesis, facial asymmetry, intellectual disability, mental retardation, and hemihypertrophy also seen in clinical process. In magnetic resonance imaging (MRI) DDMS has unique radiological findings. Seizures are commonly refractory to treatment and aim of the treatment is to control seizures and improve mental and intellectual capabilities. Prognosis is good when clinical findings occur after two years old.
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