Ulegyria
| Classification according to ICD-10 | |
|---|---|
| Q04.8 | Other specified congenital malformations of the brain |
| ICD-10 online (WHO version 2019) | |
With Ulegyrie (from ancient Greek Οὐλή oule , German healed wound, scar ' and ancient Greek γύρος gyros , latinisiert gyrus , German , rotation, bending, here: winding' ), a neonatal brain damage referred to, the cause and shape of the particular blood supply to the brain surface can be traced back to early childhood brain development .
The cerebral convolutions ( gyri ) are better supplied with blood than the parts of the brain surface located in the depths of the cerebral furrows ( sulci ), so that hypoxia of the early childhood brain leads to the destruction of the tissue in the depths of the cerebral furrows and thus small, atrophic brain convolutions and widths Cerebral furrows.
The cause is ischemia , cerebral haemorrhage or infection in utero .
As a result, epileptic seizures can occur, a symptom that can be eliminated in individual cases with the surgical removal of the cerebral scar tissue - a so-called ulectomy .
Detection of these lesions is best done using magnetic resonance imaging (MRI).
Other gyration and migration disorders such as focal cortical dysplasia or polymicrogyria are to be distinguished .
See also
literature
- A. O'Connor, DJ Costello: Occipital ulegyria causing epilepsy and visual impairment: an easily overlooked epilepsy syndrome. In: Epileptic disorders: international epilepsy journal with videotape. Volume 19, number 4, December 2017, pp. 486-490, doi: 10.1684 / epd.2017.0948 , PMID 29258967 .
- LD Ladino, A. Arteaga, SP Isaza, JA Delgado, JM Vélez, G. Castrillón, V. Calvo, RA Solarte, P. Balaguera, CS Uribe: Correlación de la morfometría por resonancia magnética con los hallazgos clínicos y electroencefalográficos de pacientes con diagnóstico de ulegiria y epilepsia. In: Revista de neurologia. Volume 54, Number 10, May 2012, pp. 601-608, PMID 22573507 .
- N. Usui, T. Mihara, K. Baba, K. Matsuda, T. Tottori, S. Umeoka, F. Nakamura, K. Terada, K. Usui, Y. Inoue: Posterior cortex epilepsy secondary to ulegyria: is it a surgically remediable syndrome? In: Epilepsia. Volume 49, Number 12, December 2008, pp. 1998-2007, doi: 10.1111 / j.1528-1167.2008.01697.x , PMID 18557774 .
