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It is caused by a defect in the development of the mantle and can extend to the subarachnoid space. There are several types of schizencephaly, which usually makes an appearance in the form of a convulsive crisis during childhood or youth. We present the case of a 75-year-old woman with no previous neurological history and with no limitations when performing the basic activities of daily life. She presented with a low level of consciousness and clonic movements in her left arm. The neuroimaging tests (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>) revealed an abnormality of the left ventricular system compatible with open-lip schizencephaly. The electroencephalogram (EEG) reported right temporal lobe focal status epilepticus and treatment was established with anticonvulsant drugs, however a surgical approach was ruled out by the neurosurgery department. Despite the measures adopted, the patient persisted with a low level of consciousness. Due to the irreversibility of the aetiology responsible for her condition and the persistent vegetative state, it was decided to transfer her to a social health centre. The peculiarity in our case lays in the age of the patient when diagnosed. Most of the published case series show the disease making an appearance in childhood, and it is extremely rare that this occurs in adulthood or old age.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical considerations</span><p id="par0010" class="elsevierStylePara elsevierViewall">Informed consent has been obtained.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">This work has not received any type of funding.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethical considerations" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 544 "Ancho" => 1005 "Tamanyo" => 32712 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 544 "Ancho" => 1005 "Tamanyo" => 42642 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016100000005/v5_202401300721/S2387020623003297/v5_202401300721/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016100000005/v5_202401300721/S2387020623003297/v5_202401300721/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623003297?idApp=UINPBA00004N" ]
Journal Information
Vol. 161. Issue 5.
Pages 230 (September 2023)
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Vol. 161. Issue 5.
Pages 230 (September 2023)
Image in medicine
Schizencephaly
Esquisencefalia
Luis Javier Pérez Bazaga
, Cristina Aguilera García, Alberto Córdoba López
Corresponding author
Unidad de Medicina Intensiva, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain
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