Cystic encephalomalacia - porencephaly

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Infantalie hemiplegia and long standing epilepsy. No change in MRI over 15 years.

Patient Data

Age: 40 years

Stable multiseptated left-hemispheric porencephalic cyst with surrounding gliosis. There is ex vacuo dilatation of the left lateral ventricle, and left-sided skull changes suggestive of chronicity.

Asymmetrically small left cerebral peduncle and pons in keeping with degeneration. Markedly thinned corpus callosum. 

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