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Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
Published on: July 30, 2009
Multicystic Encephalomalacia in Early Infancy: A Neuroimaging Case Report
Sanket Vinubhai Davra1, Ratnapriya Srivastava2, Reva Gupta1
1Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Maharashtra, India.
Abstract:
Multicystic encephalomalacia (MCE) is an uncommon but severe consequence of perinatal hypoxic-ischemic injury in neonates. We report a 1.5-month-old male infant presenting with fever and focal seizures, with a prior history of birth asphyxia and prolonged neonatal intensive care unit stay. Neurosonography and magnetic resonance imaging revealed extensive bilateral cortical and subcortical cystic changes with cerebral atrophy consistent with MCE. This case highlights the importance of early neuroimaging to identify characteristic patterns of extensive cystic degeneration, enabling timely prognostication, seizure management and counseling of caregivers regarding long-term neurodevelopmental outcomes.
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