Closed Lip Schizencephaly

[Dawn]

When my daughter was a 8 months old we noticed that she was having some delays in her motor skills.  We took her to the neurologist and her diagnosis was 1. cortical dysplasia involving the right per-sylvian region with broad gyri which are diminished in number associated with thickened cortex.  There is deep enfolding of the cortex with a deep sulcus which nearly reaches the lateral ventricle.  While this is reminiscent of closed lip schizencephaly, a thin band of white matter separates the enfolded gray matter from the ventricular body. 2. Absence of the septum pellucidum. 3. The optic chiasm and nerves appear to be within normal limits for size.
She is now 5 years old and only has a lack of motor skills involving her left arm and leg. She has not shown any other problems but with this diagnosis should I be concerned about any other problems that may come up in the future. And is this hereditary.
Thank You.

[CCF Neuro[P] MD, RPS]

Dear Dawn:

Sorry to hear about your daughter.  We (pediatric neurologist) often worry about intractable epilepsy in this condition.  Since your daughter does not have this, you are fortunate.  The only finding of motor problems is good, and we would recommend PT and OT (I imagine you are already doing this).  I would also suggest that as she starts school, you be watchful of a learning disability.  

Sincerely,

CCF Neuro MD

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