- Porencephalic cyst is the presentation of cysts or cavities in the brain as a result of developmental defects or acquired lesions,
as associated with ischemia. Porencephalic cysts are most frequently located in the Sylvian fissure region and are typically
associated with the subarachnoid space or ventricular system. Mental retardation, spastic quadriparesis, optic atrophy, and seizures
may be seen. The cysts may be bilateral or unilateral. We discuss in this case report the follow-up and treatment of an
adult patient presenting with porencephalic cysts related to late-stage epileptic attacks. The seizures are seen frequently in the
early stage, though not all patients present with seizures. The patients with a normal neurological examination may be followed
without surgical procedures. Those with resistant epilepsy may undergo surgery as well as medical therapy.
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