Presentation
Left neonatal hemiplegia, epilepsy.
Patient Data
Age: 2 years
Gender: Male
From the case:
Encephalomalacia
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The MRI sequences demonstrate:
- volume loss of the right cerebral hemisphere
- multiseptated hemispheric porencephalic cyst communicating with the subarachnoid spaces with almost destruction of the hemispheric parenchyma of CSF signal on all sequences
- surrounding gliosis
- dilatation of the ipsilateral ventricular system
- markedly thinned corpus callosum
Case Discussion
Encephalomalacia is considered as the end result of liquefactive necrosis of brain parenchyma following an insult. This usually occurs after cerebral ischemia, cerebral infection, hemorrhage, traumatic brain injury, surgery or other insults.
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