Dyke-Davidoff-Masson syndrome

Moli Jai Jain, Rakesh Krishna Kovela

PAMJ. 2021; 39:256. Published 20 Aug 2021 | doi:10.11604/pamj.2021.39.256.30993

We are presenting a case of 15-year old male patient presented with weakness of right upper and lower limbs, difficulty lifting objects with the right hand. He was born full term to non- consanguineous parents with no significant antenatal or perinatal history. On examination there was hemi-atrophy of the right side of the body with simultaneous involuntary movements of contralateral hand accompanying voluntary movement of the ipsilateral side. Neurological examination reveals right side spastic hemiparesis with upper limb more affected than lower limb. Tendon reflexes were brisk on affected side with extensor plantar response. Mini mental status examination score was 26/30 suggestive of mild cognitive impairment. Other systemic examinations were within normal limits. Plain and contrast MRI of brain findings reveal left cerebral hemi-atrophy with thinning of the ipsilateral grey matter cortex, reduced volume of the underlying white matter, enlargement of the left lateral ventricle and reduced size of ipsilateral left cerebral peduncle is noted. Along with slight compensatory thickening of the ipsilateral skull vault is seen. Findings confirm diagnosis of Dyke-Davidoff-Masson Syndrome. He was under medical management along with physiotherapy rehabilitation focussing majorly on hand rehabilitation.
Corresponding author
Rakesh Krishna Kovela, Department of Neuro-physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India (rakeshkrishna.pt@gmail.com)

The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, ESCI

Physical address: Kenya: 3rd Floor, Park Suite Building, Parkland Road, Nairobi. PoBox 38583-00100, tel: +254 (0)20-520-4356 | Cameroon: Immeuble TechnoPark Essos, Yaounde, PoBox: 10020 Yaounde, tel: +237 (0)24-309-5880