We report a family with nodular subependymal masses of heterotopic gra
y matter occurring in six members in four generations. Only female mem
bers of the family are affected, and there is a high rate of spontaneo
us abortion, consistent with X-linked dominant inheritance, and lack o
f viability in affected males. Both in this family and in sporadic cas
es of subependymal heterotopias there is a high frequency of convulsiv
e disorders, suggesting that epilepsy may be the major clinical manife
station of this developmental defect.