A case with an asymptomatic malformation of cortical development diagnosed in eighth decade of life

Irsel T. F., Oguz K. K., SAYGI S.

BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY, vol.111, no.8, pp.467-468, 2010 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 111 Issue: 8
  • Publication Date: 2010
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.467-468
  • Hacettepe University Affiliated: Yes


We report a patient newly diagnosed with cortical dysplasia upon magnetic resonance imaging (MRI) in his eighth decade of life after a recent syncopal attack. The neurological examination and laboratory findings were normal. His cranial MRI revealed a lesion giving a low signal on T1-weighted images, which was evaluated as focal cortical dysplasia. No treatment was given, and he did not have any further syncopal or epileptic attacks during the subsequent two-year follow up. No previous study has described such a case of malformations of cortical development (MCD) in patients older than 70. Especially in asymptomatic or clinically less severe patients, the underdiagnosis of MCD may result in a clinical spectrum that is too narrow to reflect the reality (Fig. 1, Ref. 6).Full Text in free PDF www.bmj.sk.