In a patient with Turner mosaicism who had mental retardation, epileps
y and cerebellar ataxia, MRI showed cerebellar atrophy and a bizarre c
ortical dysgenesis of the cerebrum, which was considered to comprise a
mixture of relatively normal gyri and structures resembling pachygyri
a and lissencephaly. The karyotype of the patient was 45,X/47,XXX, but
the brain dysgenesis could not be explained solely on the basis of th
is mosaicism, which is rarely associated with a gross abnormality in b
rain pathology. Abnormality of the X chromosome seems to have some pot
ential for inducing cortical dysgenesis, and this case may be partiall
y attributable to an abnormal locus on the X chromosome.