Post-ischemic encephalomalacia and Wallerian degeneration

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

History of neonatal ischemic insult with progressive motor symptoms and seizures.

Patient Data

Age: 20 years
Gender: Male

Right temporoparietooccipital cortical and subcortical area of multicystic encephalomalacia and gliosis with negative mass effect upon the right lateral ventricle. Ipsilateral loss of volume of the right cerebral peduncle.

A notable increased calvarial thickening on the right side and increased size of the right frontal sinus may point to possible Dyke Davidoff Masson syndrome

Case Discussion

Multicystic encephalomalacia as a resultant of old ischemia with subsequent grade III Wallerian degeneration of the right cerebral peduncle.

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