Qureshi Anam, Jehangir Asad, York Eugene P
Department of Internal Medicine, Reading Hospital - Tower Health, West Reading, PA, USA.
J Community Hosp Intern Med Perspect. 2018 Apr 17;8(2):92-93. doi: 10.1080/20009666.2018.1454788. eCollection 2018.
We present a case of a 56-year-old male with a history of perinatal intracerebral hemorrhage who presented to the emergency department after a witnessed new-onset generalized tonic-clonic seizure. Computerized tomography and magnetic resonance imaging of the head revealed a large frontal lobe porencephalic cyst, with encephalomalacia in the right parietal lobe and temporal lobe (the patient did not have any prior cranial imaging). The patient has subsequently remained seizure-free on levetiracetam. Porencephalic cyst is a rare condition of cerebrospinal fluid accumulation in the brain parenchyma that is usually related to perinatal vascular events. These cysts can have a wide array of clinical presentations. This can include partial or generalized seizures, which are usually managed by antiepileptics.
我们报告一例56岁男性患者，有围产期脑出血病史，在目睹其新发全身性强直阵挛发作后被送往急诊科。头部计算机断层扫描和磁共振成像显示一个巨大的额叶脑穿通性囊肿，右侧顶叶和颞叶存在脑软化（患者此前未进行过任何颅脑影像学检查）。该患者随后服用左乙拉西坦后未再发作。脑穿通性囊肿是一种罕见的脑脊液在脑实质内积聚的疾病，通常与围产期血管事件有关。这些囊肿可有多种临床表现。这包括部分性或全身性发作，通常用抗癫痫药物治疗。
