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Hemimegalencephaly is a rare cerebral malformation characterized by overgrowth of all or part of a cerebral hemisphere, often with ipsilateral severe cortical dysplasia or dysgenesis, white matter hypertrophy and dilated lateral ventricle, presenting in early infancy with progressive hemiparesis, severe psychomotor retardation and intractable seizures. Hemimegalencephaly may be an isolated finding or associated with other syndromes such as angioosteohypertrophic syndrome, epidermal nevus syndrome and Ito hypomelanosis. Management includes seizure control by antiepileptic medications and early hemispherectomy.
Features include very common findings: Seizure, Interictal EEG abnormality, and Hyperintensity of cerebral white matter on MRI; and common findings: Cranial asymmetry, Abnormal skull morphology, Global developmental delay, and Enlarged brain ventricles (ventriculomegaly) and others. 33 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 13 | Seizure, Hyperintensity of cerebral white matter on MRI, Global developmental delay |
Biomarker and diagnostic research for hemimegalencephaly has been reported in the published literature.
Phenotype severity distribution: 3 very common features, 13 common features.
Estimated prevalence: Unknown (Unknown prevalence).
1 clinical trial registered, 1 recruiting. Interventions under study include drug therapy. Pipeline includes 1 PHASE1. Research is primarily industry-sponsored.
43 publications have been identified in PubMed for hemimegalencephaly. Research spans Case Report / Case Series (37%), Clinical Trial Publication (23%), and Review / Meta-Analysis (14%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 16 | 37% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 5:30 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Eyes | 2 | Damage to the optic nerve (optic atrophy), Oculomotor nerve palsy |
Head and neck | 1 | Macrocephaly |
Muscles | 1 | Damage to the optic nerve (optic atrophy) |
Clinical study results |
10 |
23% |
Research summaries | 6 | 14% |
Laboratory research | 5 | 12% |
Testing and diagnosis research | 3 | 7% |
Disease patterns and progression | 2 | 5% |
Other research | 1 | 2% |
Esserlind AL (2026). [PMID: 41940182](https://pubmed.ncbi.nlm.nih.gov/41940182/). *Epilepsy Behav Rep*. [Case Report / Case Series]
Fazekas F (2026). [PMID: 41489603](https://pubmed.ncbi.nlm.nih.gov/41489603/). *Epilepsia*. [Case Report / Case Series]
Buraniqi E (2026). [PMID: 42208165](https://pubmed.ncbi.nlm.nih.gov/42208165/). *Pediatr Neurol*. [Clinical Trial Publication]
Zhang S (2026). [PMID: 42044617](https://pubmed.ncbi.nlm.nih.gov/42044617/). *Seizure*. [Basic Science / Preclinical]
Saito R (2026). [PMID: 41509143](https://pubmed.ncbi.nlm.nih.gov/41509143/). *Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology*. [Case Report / Case Series]
Yau I (2026). [PMID: 42024976](https://pubmed.ncbi.nlm.nih.gov/42024976/). *Seizure*. [Case Report / Case Series]
Tran VD (2026). [PMID: 41783189](https://pubmed.ncbi.nlm.nih.gov/41783189/). *Surgical neurology international*. [Case Report / Case Series]
Pearl MS (2026). [PMID: 40425282](https://pubmed.ncbi.nlm.nih.gov/40425282/). *Journal of neurointerventional surgery*. [Case Report / Case Series]
Nistal D (2026). [PMID: 41569724](https://pubmed.ncbi.nlm.nih.gov/41569724/). *Journal of neurosurgery. Pediatrics*. [Clinical Trial Publication]
Shim Y (2026). [PMID: 41630268](https://pubmed.ncbi.nlm.nih.gov/41630268/). *Medicine*. [Clinical Trial Publication]