Journal List > Perinatology > v.28(4) > 1071358

Seo, Cho, and Choi: Type 1 Lissencephaly with Ocular Abnormality and Cranial Nerve Palsies

Abstract

Lissencephaly is a cerebral cortical malformation characterized by partial to total loss of gyri and sulci of brain leading to mental retardation and epilepsy. It is caused by failure of division and migration of neural cell in early embryonic period. Microdeletion or point mutation of LIS1 gene is mostly associated with type 1 lissencephaly. A newborn who presented abnormal face and unilateral facial nerve palsy was born and showed near complete agyria on brain MRI. She also has other cranial nerve palsies and ocular abnormalities (aniridia, microcornea and optic disc coloboma). Although we could not found a deletion of LIS1 gene, a case of type 1 lissencephaly with ocular abnormality and cranial nerve palsies is very rare. Therefore we report this case with literature investigations.

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Fig. 1
The patient's appearance showing high prominent forehead, hypertelorism and Rt. facial nerve palsy.
pn-28-171f1.tif
Fig. 2
The patient's skull AP X-ray showing that both parietal bones are dominant.
pn-28-171f2.tif
Fig. 3
The patient's brain magnetic resonance imaging T2W axial image (A), coronal image (B), sagittal image (C) showing near complete agyria with doube cortex in both cerebral hemispheres.
pn-28-171f3.tif
Fig. 4
The patient's anterior segment image showing iris hypoplasia, about 40% of iris remnants with microcornea and inferiorly subluxated lens.
pn-28-171f4.tif
Fig. 5
The patient's fundus image showing optic disc coloboma. The disc shows a discrete, focal, glistening, white bowl-shaped excavation.
pn-28-171f5.tif
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