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Cortical dysplasia with prominent Rosenthal fiber formation in a case of intractable pediatric epilepsy.
[alexander disease]
We
report
a
case
of
a
5
-
year
-old
boy
with
intractable
epilepsy
who
underwent
therapeutic
corticectomy
.
Histopathologic
findings
within
the
resection
specimen
included
severe
cortical
dysplasia
associated
with
abundant
subpial
and
intraparenchymal
Rosenthal
fibers
in
a
large
right
frontal
lesion
that
merged
into
the
basal
ganglia
.
Rosenthal
fiber
proliferation
may
represent
a
reactive
process
,
are
frequent
in
pilocytic
astrocytomas
,
and
are
a
defining
feature
of
Alexander
disease
.
There
was
no
evidence
of
neoplasm
or
leukodystrophy
in
this
case
.
Genetic
analysis
of
the
specimen
showed
a
few
previously
reported
polymorphisms
but
no
mutation
in
the
GFAP
gene
.
This
case
is
unique
among
several
hundred
cortical
resection
specimens
that
we
have
studied
,
including
numerous
cases
of
severe
cortical
dysplasia
.
Diseases
Validation
Diseases presenting
"severe cortical dysplasia"
symptom
alexander disease
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