We read with great interest the Letter to the Editor of Dr Stoecklein and colleagues reporting on a case of X-linked bilateral periventricular nodular heterotopia detected on magnetic resonance imaging (MRI) 1 . The Letter raises two main comments.Firstly, it should be borne in mind that subependymal nodular heterotopia (SENH) may be diagnosed in the prenatal period using also ultrasound, by depicting irregular and square-shaped frontal horns and bodies of the lateral ventricles 2 . This is of importance as access to MRI may be limited in some centers. The authors stress that SENH is commonly overlooked by prenatal ultrasound and cite two studies, one that was published in 1986 3 and another carried out by our group 4 , which focuses on the correlation between pre-and postnatal cerebral MRI. It should be noted that, in the latter article, no case of diffuse and bilateral SENH was overlooked by ultrasound; the discrepancies between pre-and postnatal imaging involved only cases of single or few heterotopia. However, such a diagnosis remains challenging and, even