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Washington University Experience | VASCULAR | Hypoxia-Ischemia, fetal-neonatal | Porencephaly | 10A1 Porencephaly & MCA infarct (Case 10) MPR RANGE 1 - Copy
Case 10 History ---- The patient was a 20 month old male infant who was born at 30 weeks estimated gestational age. After birth he developed necrotizing enterocolitis leading to bowel resection and short gut syndrome requiring total parenteral nutrition. At 2 weeks of age the patient developed a right MCA infarct that resulted in encephalomalacia and left hemiplegic spastic cerebral palsy. The patient subsequently showed progression of a medically intractable seizure disorder. Brain MRI showed extensive cystic change involving the right frontal and parietal periventricular white matter. Operative procedure: craniotomy with hemispherotomy. ---- 10A1-3 Multiple MRI images shows a large porencephalic cyst involving most of the right cerebral hemispheres separate from the right lateral ventricle accompanied by overlying ulegyria.
