We report the neonatal courses, early postnatal development, and neuro
imaging findings of 17 patients with marked microcephaly and simplifie
d cerebral gyral patterns, a condition that we call microlissencephaly
. Retrospective analyses of the clinicoradiologic features of these pa
tients allowed segregation of the patients into 5 distinct groups with
varying outcomes. The apparent discreteness of these groups suggests
multiple etiologies of this malformation, although there appears to be
a strong genetic component with probable autosomal recessive inherita
nce. Utilizing the neonatal course and neuroradiologic features of the
se infants allows classification of specific subsets, which may be use
ful to predict outcome.