Unilateral Open Lip Schizencephaly

Abstract

Schizencephaly is a rare congenital anomaly of the brain secondary to neuronal migration defect, characterized by slit or cleft in the cerebral hemispheres running from the pia to lateral ventricles. From clinical pint of view most of the patients present with different level of motor and psychological disorders. Imaging (CT-Scan and MRI) plays a key role in the definite diagnosis by which associated central nervous system (CNS) anomalies (absence of septum pellucidum and corpus callosum dysgenesis) could be diagnosed as well. Here, we present a case of 22 months old aphasic child suffering from head enlargement. CT-Scan image revealed unilateral schizencephaly compressing lateral ventricles and causing ventriculomegaly. We applied ventriculoperitoneal shunt (V–P shunt). After one month follow-up and brain repeated CT-Scan image for confirmation, the size of brain ventricles considerably diminished.