Abstract

Porencephaly is an extremely rare congenital disorder characterized by a cyst or a cavity filled with cerebrospinal fluid, in the brain’s parenchyma. An 18-year-old male with moderate intellectual disability presented with periodic unprovoked anger outbursts lasting 3-5 minutes of recent onset. Computed tomography of the head was done after the consultation and revealed a large porencephalic cyst in the left frontotemporal region. The patient responded well with tablet Clobazam 5mg BD and tablet Sodium Valproate 300mg BD. The condition is briefly discussed. Keywords: Porencephaly, Seizures, Psychosis.

Highlights

  • Is an extremely rare disorder of the central nervous system characterized by a single or multiple cysts or cavities filled with cerebrospinal fluid, in the brain’s parenchyma.[1]

  • We report a case of Porencephaly presenting with anger outbursts due to its rarity

  • COL4A1 has been proved to be a major locus for genetic predisposition to perinatal cerebral haemorrhage and porencephaly.[6]

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Summary

Case Report

1,2Professor, 3Assistant Professor, 4Senior Resident, 1,2,4Dept. of Psychiatry, 3Dept. of Social Work, 1Hind Institute of Medical Science, Lucknow, Uttar Pradesh, 2,4Dr. D Y Patil Medical College, Hospital & Research Center, Pimpri, Pune, Maharashtra, 3Karve Institute of Social Service, Pune, Maharashtra, India

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