Ganvir Suvarna S, Mishra Simran A, Harishchandre Maheshwari, Khare Akhilendra B, Ganvir Shyam D
Neurophysiotherapy, Dr. Vithalrao Vikhe Patil Foundation's College of Physiotherapy, Ahmednagar, IND.
Internal Medicine, Dr. Vithalrao Vikhe Patil Foundation's Medical College and Hospital, Ahmednagar, IND.
Cureus. 2023 Feb 4;15(2):e34637. doi: 10.7759/cureus.34637. eCollection 2023 Feb.
Infantile hemiparesis resulting from Dyke-Davidoff-Masson syndrome (DDMS) is an uncommon condition, especially in patients with no positive natal history. The age of presentation is dependent on when the neurologic insult occurred, and distinctive alterations may not appear until puberty. The left hemisphere and the male gender are more frequently involved. Common findings that can be seen are seizures, hemiparesis, mental retardation, and facial changes. Characteristic MRI findings are dilation of the lateral ventricles, hemiatrophy of the cerebrum, frontal sinus hyperpneumatization, and compensatory hypertrophy of the skull. Here, we report a 17-year-old female patient who reported physiotherapy treatment after the attack of epilepsy, with the complaint of inability to use the right hand for functional activities and gait deviations. Patient examination revealed typical chronic hemiparesis of the right side with mild cognitive affection. Brain investigation confirms the diagnosis of DDMS.
戴克 - 戴维多夫 - 马森综合征(DDMS)导致的小儿偏瘫是一种罕见病症,尤其是在无阳性出生史的患者中。发病年龄取决于神经损伤发生的时间,直到青春期可能才会出现明显变化。左半球和男性更常受累。常见表现包括癫痫发作、偏瘫、智力迟钝和面部改变。特征性的MRI表现为侧脑室扩张、大脑半球萎缩、额窦过度气化和颅骨代偿性肥大。在此,我们报告一名17岁女性患者,她在癫痫发作后接受物理治疗,主诉无法使用右手进行功能性活动以及步态偏差。患者检查显示右侧典型的慢性偏瘫伴有轻度认知障碍。脑部检查确诊为DDMS。