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Journal of Korean Neurosurgical Society 1981;10(2): 695-702.
A Case of Porencephaly.
Young Joon Kim, Soon Kwan Choi, In Soo Lee, Dong Wha Lee
1Department of Neurosurgery, Soon Chun Hyang Medical College, Seoul, Korea.
2Department of Pathology, Soon Chun Hyang Medical College, Seoul, Korea.
ABSTRACT
A 42-year-old male with headache, right homonymous hemianopsia, seizure, and right hemiparesis had been treated. A CT scan revealed a large ovoid well-definded area of cerebrospinal fluid densty in the left posterior parietal lobe, which appeared to communicate with the body of the ipsilateral lateral ventricle. A conray ventriculogram showed a cavity of 6+/-5cm in the left posterior parietal lobe, and a communication with the body of the ipsilateral lateral ventricle was visualized. The porencephaly was managed by creation of as large a window as possible to the ipsilateral ventricle, because the communication with the body of the lateral ventricle was very narrow. Microscopic, pathological evaluation confirmed the diagnosis of porencephaly due to an inflammatory lesion of an undetermined origin. The patient was discharged without any evidence of neurological deficit except the right homonymous hemianopsia.
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