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Multicystic encephalomalacia

Case contributed by Abiola Ayodele
Diagnosis almost certain

Presentation

Severe perinatal asphyxia, macrocephaly, delayed developmental milestone.

Patient Data

Age: 4 months
Gender: Male

Non contrast

ct
  • widespread hypoattenuation of the white matter with sparing of the cortex consistent with multicystic encephalomalacia
  • generalized cerebral atrophy with ex-vacuo dilatation of the lateral ventricles worse on the right

Case Discussion

CT findings are consistent with multicystic encephalomalacia sequelae of hypoxic-ischemic injury following severe perinatal asphyxia.

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