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Porencephalic congenital cysts with hydrocephalus

J C Suarez, Z M Sfaello, M Albarenque

    Child'S Brain
    |January 1, 1984
    PubMed

    Insights

    Porencephalic congenital cysts in children often present with neurological deficits. Surgical intervention, including shunts and plastic surgery, improved patient morbidity.

    Area of Science:

    • Pediatric Neurology
    • Neurosurgery
    • Developmental Pediatrics

    Background:

    • Porencephalic congenital cysts are rare brain malformations.
    • Early diagnosis and intervention are crucial for managing associated neurological deficits.

    Purpose of the Study:

    • To review therapeutic criteria for porencephalic congenital cysts based on tomographic findings.
    • To evaluate the clinical presentation, diagnostic methods, and surgical outcomes in children with these cysts.

    Main Methods:

    • Retrospective review of 10 children (6 male, 4 female) with porencephalic congenital cysts.
    • Analysis of clinical symptoms, preoperative imaging (X-ray, EEG, CT), and surgical procedures (peritoneal/atrial shunts, plastic surgery).

    Main Results:

    • Most children presented with symptoms within the first 6 months of life.
    • Common symptoms included retarded psychomotor development, endocranial hypertension, macrocrania, motor deficits, and seizures.
    • CT scans revealed porencephalic cysts, ventricular dilatation, and midline shift in most patients.
    • Surgical interventions led to improved morbidity without mortality.

    Conclusions:

    • Tomographic findings are essential for diagnosing and planning treatment for porencephalic cysts.
    • Surgical management, including shunting and plastic surgery, can effectively improve outcomes in affected children.
    • Multidisciplinary rehabilitation and anticonvulsive treatment are vital components of postsurgical care.
    Abstract

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