Multicystic encephalomalacia with cerebellar involvement

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Birth asphyxia

Patient Data

Age: 2 months
Gender: Male
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T2
This study is a stack
Sagittal
T1
This study is a stack
Axial
T1
This study is a stack
Coronal
T2
This study is a stack
Axial
SWI
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Coronal
FLAIR
This study is a stack
Sagittal
T2
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Info

Multiple large gliotic areas with cystic encephalomalacia, foci of haemorrhage and thinned out cortex in bilateral cerebral hemispheres causing ex-vacuo dilatation of bilateral lateral ventricles, likely multicystic encephalomalacia.

Atrophy with hyperintensity involving superior aspects of cerebellar hemispheres and vermis.

Case Discussion

Above findings suggest likelihood of sequelae of hypoxic/ischaemic insult due to birth asphyxia. The above case also has cerebellar involvement which can be seen in profound insult.

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