A controversial question: Can morphometry and clinical history be enough to diagnose hippocampal dysplasia?

Author:

Arruda Ianne Lucena12,Arruda Rivus Ferreira12,da Silveira Rayanne Maria Brandão1,Duarte Jeana Torres Corso1,Guaranha Mirian Salvadori Bittar1ORCID,Guilhoto Laura Maria1ORCID,Carrete Júnior Henrique3ORCID,Stavale Joao Norberto4,Centeno Ricardo Silva5ORCID,Yacubian Elza Marcia Targas1ORCID,Peixoto‐Santos Jose Eduardo2ORCID

Affiliation:

1. Epilepsy Research and Treatment Unit, Department of Neurology and Neurosurgery Federal University of São Paulo (Unifesp) São Paulo Brazil

2. Neuroscience Sector, Department of Neurology and Neurosurgery Federal University of São Paulo (UNIFESP) São Paulo Brazil

3. Diagnostic Imaging Sector, Department of Diagnostic Imaging Federal University of São Paulo (Unifesp) São Paulo Brazil

4. Department of Pathology Federal University of São Paulo (Unifesp) São Paulo Brazil

5. Neurosurgery Sector, Department of Neurology and Neurosurgery Federal University of São Paulo (Unifesp) São Paulo Brazil

Abstract

AbstractThe presence of dysmorphic neurons with strong cytoplasmatic accumulation of heavy non‐phosphorylated neurofilament is crucial for the diagnostics of focal cortical dysplasia type II (FCDII). While ILAE's classification describes neocortical dysplasias, some groups have reported patients with mesial t abnormal neurons in the hippocampus of mesial temporal lobe epilepsy. Here we report a patient with such abnormal neurons in the hippocampus and compared it with previous reports of hippocampal dysplasia. Finally, we discuss the need for diagnostic criteria of hippocampal dysplasia.

Funder

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Fundação de Amparo à Pesquisa do Estado de São Paulo

Publisher

Wiley

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