P. Landrieu et C. Lacroix, SCHIZENCEPHALY, CONSEQUENCE OF A DEVELOPMENTAL VASCULOPATHY - A CLINICOPATHOLOGICAL REPORT, Clinical neuropathology, 13(4), 1994, pp. 192-196
Schizencephaly was diagnosed by CT scan in a 3-month-old girl who died
soon thereafter. The main neuropathological findings were the followi
ng: 1) A left frontal and a right Parietal cleft were present which co
nsisted in mesenchymal spaces taking the place of localized developmen
tal defects of the cerebral mantel. 2) The gray matter lining the clef
ts was a microgyric cortical ribbon deeply infolded in the hemisphere
without evidence of arrested neuronal migration. 3) However, true sube
pendymal heterotopia were also recorded in areas distant from the micr
ogyric ribbon. It is suggested that schizencephaly is initiated before
the end of neuronal migration, at a time when the full thickness of t
he cerebral mantel can be easily destroyed by a localized malacic proc
ess, not later than 20 weeks of gestation. 4) Late ischemic insults to
the cerebral cortex were observed, suggesting a long lasting process.
Moreover, the death was due to an hematoma in the largest cleft, wher
e atypical vessels were present. A developmental vasculopathy could be
the cause for some cases of schizencephaly and could be life-threaten
ing until the postnatal life.