It is generally accepted that there are two subsets of septo-optic dys
plasia (deMorsier's syndrome), one with schizencephaly and the other w
ithout schizencephaly. A third form of the anomaly which is associated
with callosal absence has also been described. Except for schizenceph
aly, the association of septo-optic dysplasia with another major type
of disorder of neuronal migration and organization such as cortical dy
splasia, has not yet been reported. We report the MR imaging examinati
on of a 3-year-old patient with bilateral rolandic cortical dysplasia,
and with apparent thinning of the optic nerves, and absent septum pel
lucidum (septo-optic dysplasia) as a new combination. This can be labe
lled as cortico-septooptic dysplasia.