Dyke-Davidoff-Masson syndrome: Adult female patient with refractory epilepsy and global cognitive decline

David Ríos, Carlos Cárdenas, Patricia Quintero, .

Keywords: epilepsy, paresis, seizures

Abstract

The Dyke-Davidoff-Masson syndrome is characterized by the presence of cerebral hemiatrophy, craneal vault thickening, epileptic seizures, hemiparesis, and cognitive impairment. It is typically diagnosed in childhood and requires specific diagnostic tools for accurate assessment.
This report describes the case of a 19-year-old woman who presented with epileptic seizures and regression in neurodevelopment. She was admitted to the emergency department due to high ictal frequency. During her hospitalization, imaging and electroencephalographic findings were consistent with Dyke-Davidoff-Masson syndrome. Additionally, neuropsychological tests revealed global cognitive impairment. After ten days of hospitalization and five days without epileptic seizures, the patient was discharged.
Dyke-Davidoff-Masson syndrome is a rare and often unrecognized condition with high morbidity. Clinicians has the responsibility to identify the key characteristics of the syndrome and perform an adequate differential diagnosis.

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  • David Ríos Unidad de Neurología, Departamento de Medicina Interna, Universidad Nacional de Colombia, Bogotá, D. C., Colombia; Grupo de Investigación NeuroUnal, Universidad Nacional de Colombia, Bogotá, D. C., Colombia; Facultad de Medicina, Universidad CES, Medellín, Colombia; Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Servicio de Neurología, Fundación Instituto Neurológico de Colombia, Medellín, Colombia. https://orcid.org/0000-0001-6891-3242
  • Carlos Cárdenas Unidad de Neurología, Departamento de Medicina Interna, Universidad Nacional de Colombia, Bogotá, D. C., Colombia; Grupo de Investigación NeuroUnal, Universidad Nacional de Colombia, Bogotá, D. C., Colombia; Servicio de Neurología, Hospital Universitario de La Samaritana, Bogotá, D. C., Colombia https://orcid.org/0009-0002-7668-3250
  • Patricia Quintero Unidad de Neurología, Departamento de Medicina Interna, Universidad Nacional de Colombia, Bogotá, D. C., Colombia; Grupo de Investigación NeuroUnal, Universidad Nacional de Colombia, Bogotá, D. C., Colombia; Servicio de Neurología, Hospital Universitario de La Samaritana, Bogotá, D. C., Colombia https://orcid.org/0000-0001-6273-0699

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How to Cite
1.
Ríos D, Cárdenas C, Quintero P. Dyke-Davidoff-Masson syndrome: Adult female patient with refractory epilepsy and global cognitive decline. Biomed. [Internet]. 2025 May 30 [cited 2026 Jan. 13];45(2):173-9. Available from: https://revistabiomedicaorg.biteca.online/index.php/biomedica/article/view/7356
Published
2025-05-30
Section
Case presentation

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