Porencefalia, reporte de caso

Abstract

<jats:p>La porencefalia como lesión cerebral es una entidad que por el gran compromiso encefálico genera déficits motores y conductuales afectando el normal desarrollo de niños, siendo este el grupo poblacional principalmente afectado; quienes desde muy temprana edad presentan manifestaciones clínicas, sin embargo en algunos casos excepcionales tienden a cursan asintomáticos o con mínimas secuelas motoras que pueden retrasar su diagnóstico; campo en que las técnicas de imagen llegan a ser fundamentales. Se presenta aquí el primer caso de porencefalia reportado en Boyacá a la edad adulta sin antecedentes que sugieran su diagnóstico o algún manejo instaurado a la misma, la cual termina complicándose dejando varias secuelas. </jats:p>

Porencephalic cyst due to encephalomacia with neuropsychiatric symptoms and epilepsy: a case report

“…2 Comparing the case of Sisa, M., et al of frontotemporal porcencephaly with a history of poliomyelitis, we are of the same opinion that the history could not be demonstrated due to the absence of studies that confirmed the presence of the virus and to be a possible etiology in our patient. 7 We have the impression that the intellectual disability did not progress to overt cognitive impairment because of therapeutic support to improve the patient's quality of life plus the decrease the patient's seizures. The psychological therapies and occupational therapy of the INSAM´s Psychosocial Rehabilitation Center (CRPS) are made up of a multidisciplinary team made up of a psychologist, nurse, occupational therapist and social worker.…”

“…10 With workshops such as: orchid therapy and medicinal plants for the development of manual skills, art therapy to stimulate people and social integration, self-esteem and fine arts 10 compared to what is recommended: by Tencer, J., Agarwal, S. Child Neurology Foundation. physiotherapy, occupational therapy, special instruction and speech therapy, 8 Michaelis R, et al, behavioral and cognitive treatment, mind-body therapies and educational interventions 9 being important pillars of similar treatment mentioned by Sisa M et al 7…”

“…1 In adults with encephalomalacia there are rare cases reported with psychiatric morbidities in the progressive form of mental decline, borderline dementia, depressive-like symptoms, delusion and oedipism. 3 There is no specific treatment, these varies from surgery and drugs; 1,7 however, several studies emphasize symptomatic management, aimed at the stage of development in which it is diagnosed; general physiotherapy, speech therapy and long-term positive behavioral support tend to be the pillars 7 and psychological therapies 8 as well as the benefit of behavioral and cognitive therapies, body -mind and educational interventions as in patients with epilepsy to improve quality of life. 9 In this clinical case we present a 44-year-old patient with aggressive symptoms, irritability and epilepsy possibly associated with porencephalic cysts due to encephalomalacia.…”