Saturday, 7 September 2019

Cysts in gyrus rectus of frontal lobe

Clinical Details  : 42 yo female, sometime in May 2019 suffered from an episode of un responsivity associated with no features to suggest a seizure. There was no excessive perspiration. She however regains consciousness spontaneously after about 15 minutes. Thereafter she was well but on the 9th of August abruptly lost consciousness, had abnormal tonic posturing of the limbs, hyper salivation but no tongue bite or incontinence. SHe however had excessive profuse perspiration. 

Present clinical examination is entirely normal. 
BP 130/90

MR study of brain reveals multicystic changes clustered in the gyrus rectus of right frontal lobe.
Clinical significance is doubtful in this case.
However this is a rare finding so far reported only with tourette syndrome in literature.

Ref :
Tourette syndrome associated with unilateral cystic changes in the gyrus rectus.
McAbee GN1, Wark JE, Manning A Department of Pediatrics (Neurology), University of Medicine and Dentistry of New Jersey, Children's Regional Hospital at Cooper Hospital/University Medical Center, Camden 08103, USA.

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