Hemiatrophy
This patient fell and hit his head on a table at age 3. There was a faint left craniotomy scar, indicating a major intracranial injury that was managed surgically. He was left with refractory seizures and a spastic right hemiplegia with hemiatrophy.(Figures 1 and 2) Hemiatrophy may also complicate hemiparkinsonism.(2,3) Rarely, hemiatrophy is idiopathic.
References
1. Campbell WW. DeJong's the neurologic examination, 7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013. 2. Ayromlou H, Najmi S, Arami MA. Hemiparkinsonism-hemiatrophy syndrome. Arch Iran Med. 2011 Mar;14(2):152-4. 3. Giladi N, Burke RE, Kostic V, Przedborski S, Gordon M, Hunt A, Fahn S. Hemiparkinsonism-hemiatrophy syndrome: clinical and neuroradiologic features. Neurology. 1990 Nov;40(11):1731-4.