We report a patient with early infantile epileptic encephalopathy (EIEE) wi
th suppression-burst (Ohtahara syndrome) associated with olivary-dentate dy
splasia and agenesis of mamillary bodies is reported. Although those with O
htahara syndrome are a heterogeneous group, virtually all reported cases. a
re secondary to neuronal migrational disorders, sometimes only identified b
y detailed neuropathologic examination, as in this case report, which descr
ibes mamillary body agenesis as a not-yet-recognized anomaly associated wit
h Ohtahara syndrome. All children with Ohtahara syndrome should have high-r
esolution magnetic resonance imaging (MRI) and detailed postmortem neuropat
hologic examinations.