Multicystic encephalomalacia

Case contributed by Dr Ammar Haouimi

Presentation

Delayed milestones. History of birth asphyxia.

Patient Data

Age: 8 months
Gender: Female
MRI

Reduced volume of both cerebral hemispheres with multiple cystic areas of various sizes within the cortex and white matter with dilatation of the ventricular system (particularly the third and lateral ventricles) and atrophy of the corpus callosum. Note preserved posterior fossa.

Case Discussion

Multicystic encephalomalacia is considered a sequela of a diffuse insult to the brain (from ischemia, infection or developmental insults) in the antenatal or early postnatal period.

The multiple cysts result from the destruction of the cerebral white matter and the linear septae represent glial cells with some viable neurons.

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Case information

rID: 64200
Published: 9th Nov 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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