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Updated: Jun 3, 2026

The Hypoxic Ischemic Encephalopathy Model of Perinatal Ischemia
Published on: November 19, 2008
Multicystic encephalopathy: an ultimate manifestation of ischemic-hypoxic injury
Vielka Fernandez Aragones1, Amilcar Castellano-Sanchez1,2, Gabriel Chamyan3
1Mount Sinai Medical Center, Arkadi M. Rywlin Department of Pathology and Laboratory Medicine, Miami Beach, FL, USA.
Abstract:
Multicystic encephalopathy is a rare neurological finding characterized by the appearance of multiple cystic or cavitary lesions as the result of repetitive episodes of hypoxic-ischemic injury in neonates and infants. We present a rare case of multicystic encephalopathy in a 3-month-old male, born at 34 weeks with Tetralogy of Fallot and multiple comorbidities. Gross examination of the brain during the autopsy revealed multiple irregular cystic lesions and distortion of the brain parenchyma. This case report highlights the uniqueness of multicystic encephalopathy and offers an extensive review of the existing literature, including etiology, clinical presentation, and histopathologic findings.
Insights
Multicystic encephalopathy, a rare brain condition in infants, involves cystic lesions from oxygen deprivation. This case report details a unique infant presentation with congenital heart defects and other health issues.
Area of Science:
- Neurology
- Pediatrics
- Neonatology
Background:
- Multicystic encephalopathy is a rare neurological disorder in neonates and infants.
- It is characterized by multiple cystic lesions resulting from hypoxic-ischemic injury.
- Repetitive episodes of oxygen deprivation are the primary cause.
Observation:
- A rare case of multicystic encephalopathy is presented in a 3-month-old male infant.
- The infant was born prematurely at 34 weeks gestation.
- The infant had Tetralogy of Fallot and multiple comorbidities.
Findings:
- Autopsy revealed multiple irregular cystic lesions in the brain.
- Significant distortion of the brain parenchyma was observed.
- Histopathologic findings are discussed in the literature review.
Implications:
- This case highlights the unique presentation of multicystic encephalopathy.
- It underscores the importance of considering hypoxic-ischemic injury in infants with complex comorbidities.
- The report provides a comprehensive review of the condition's etiology, clinical aspects, and pathology.
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