Dyke Davidoff Masson Syndrome Clinical Radiological Aspects: Case Report

Abstract

Background: Dyke Davidoff Masson syndrome (DDM) is a rare entity. This syndrome has a variable clinical presentation from mild to severe cases, which is why it constitutes a diagnostic challenge at an early age and for treating personnel. However, within the characteristic findings, these patients may present with hemiparesis, facial asymmetry, seizures, mental retardation and cerebral hemiatrophy in neuroimaging. Case Report: 17-year-old patient with a history of epilepsy under medical management, admission to the emergency room due to a 3-day picture of headache, emesis, phonophobia and focal symptoms, for which a cranial tomography was performed, which shows characteristic findings of this syndrome. Discussion: DDM syndrome is a pathology little described in the medical literature, with a variable presentation in its symptoms. This can debut both in adulthood and at an early age. However, so far no predisposition has been found according to sex or the affected hemisphere. The diagnosis is based on findings from the physical examination and imaging studies that serve to confirm the diagnosis. Management for this syndrome is symptomatic and aims to improve the quality of life of patients. Conclusions: The case of a patient with late onset of symptoms, without relevant perinatal history and tomographic findings compatible with said syndrome is presented. DDM syndrome is a rare entity with a variable clinical presentation from mild to severe cases, which is why it constitutes a diagnostic challenge at an early age and for treating personnel.