MR imaging examinations of the brain 100 consecutive patients, ages ra
nging from 1 year to 66 years, were evaluated in order to investigate
the frequency of a deep calcarine sulcus and prominent calcar avis. Tw
enty-four cases (24 %) were found with a deep calcarine sulcus and pro
minent calcar avis. These were bilateral in four patients, and unilate
ral in twenty. Fifteen of the unilateral cases demonstrated a right-si
ded involvement, and remaining five were left-sided. A deep calcarine
sulcus and prominent calcar avis should be distinguished from disorder
s of neuronal migration and organization such as schizencephaly and he
terotopia. Also, based on our findings in this study, we speculate tha
t it is the deep calcarine sulcus and prominent calcar avis which crea
tes the appearance of the so-called accessory occipital ventricle.