The co-occurrence of Mega Cisterna Magna and Periventricular Nodular Heterotopia in an adult female patient is an uncommon and intriguing observation. Most instances are X-linked, typically with the Xq28-localized filamin A gene FLNA as the culprit. In this case study, we present a 52-year-old female patient who sought medical care for recurring headaches and epilepsy. The present case emphasizes the necessity for ongoing study and exploration into the clinical trajectory and imaging of uncommon correlations between nodular heterotopia and mega cisterna magna.
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