Porencephalic cyst due to encephalomacia with neuropsychiatric symptoms and epilepsy: a case report
- Journal of Neurology & Stroke
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Jesus E Amador L,1 Elvia D'orcy2
Abstract
Porencephaly is a rare pathology and is
commonly due to an encephalomalacia lesion. Both have two types: congenital or
acquired, causing neurological symptoms and/or disorders such as epilepsy,
intellectual disability, cognitive difficulties or impairment, and depressive-type
neuropsychiatric symptoms, irritability, behavioral changes, and psychosis.
Symptoms will depend on the size and location.
Objective: Expose clinical data; and diagnostic
and therapeutic methodology. Case: We present a 44-year-old female patient;
with a personal medical history of epilepsy and neurodevelopmental disorder,
who has a history of aggression and frequent seizures. Neuroimaging was
performed, finding an injury due to encephalomalacia and, by neurolo-gical
evaluation, it has an impression of porencephaly. Through laboratory tests,
electro-physiological studies (electroencephalogram), neuroimaging and clinical
evaluation. It is decided to present the clinical characteristics found in the
patient who required management with antiepileptic, mood stabilizer and
psychological - occupational therapies with gradual improvement of her
admission symptoms.
Keywords
porencephaly, neuropsychiatry, encephalomalacia, epilepsy