Dyke Davidoff Masson Syndrome Clinical Radiological Aspects: Case Report

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. Clinical case: 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.

背景：戴维夫·马斯顿综合征（DDM）是一种罕见病症。该综合征的临床表现多样，从轻微至严重不等，因此构成早期诊断及治疗人员面临的诊断难题。然而，在典型的病征中，患者可能出现半身不遂、面部不对称、癫痫发作、智力障碍及脑半球萎缩等神经影像学特征。临床案例：一名17岁的患者，患有癫痫病史，在接受药物治疗的情况下，因连续3天的头痛、呕吐、恐声症和局灶性症状而入院急诊，经颅脑CT检查发现该综合征的典型表现。讨论：DDM综合征在医学文献中描述较少，其症状表现多变，可始于成年期，亦可能出现在幼年期。然而，迄今为止，尚未发现与性别或受影响的半球相关的易感性。诊断基于体格检查和影像学检查的结果，以证实诊断。该综合征的治疗为对症治疗，旨在提高患者的生活质量。结论：本案例介绍了一名症状出现较晚、无相关围产期病史和与所述综合征相符的影像学发现的患者的病例。DDM综合征是一种罕见病症，其临床表现从轻微至严重不等，因此构成早期诊断及治疗人员面临的诊断难题。