MRI Revelations in Dyke-Davidoff-Masson Syndrome: Understanding Hemiatrophy through Imaging
Published: November 1, 2025 | DOI: https://doi.org/10.7860/JCDR/2025/79383.22014
Tushar Kalekar, Niharika Prasad, Ankit Gupta, Garima Kaushik
1. Professor, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Maharashtra, India.
2. Assistant Professor, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Maharashtra, India.
3. Postgraduate Resident, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Maharashtra, India.
4. Postgraduate Resident, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Maharashtra, India.
Correspondence Address :
Dr. Ankit Gupta,
Postgraduate Resident, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri-411018, Maharashtra, India.
E-mail: ankitg19963a@gmail.com
Abstract
A 22-year-old male presented with involuntary limb movements for two days, characterised by pronation-supination of the upper limbs. The patient had a history of perinatal hypoxic-ischaemic insult, as reported by his family. He had epilepsy for the past eight years and was on regular carbamazepine therapy, previously at a maintenance dose of 20 mg/kg/day, divided into two doses. Despite medication, he continued to experience breakthrough seizures approximately every 2-3 months.
Keywords
Cognitive impairment, Carbamazepine, Epilepsy, Facial asymmetry, Magnetic resonance imaging, Motor milestones