Intracerebral Hemorrhagic Cyst Versus Porencephaly

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Abstract
Introduction Diagnostic problems relating to intracranial space-occupying lesions occasionally lead to an impassé as to the definitive nature of the lesion and consequently the course of action to be taken. This quandary is enhanced in the case of cystic lesions because of their origins and peculiar intracerebral behavior. The case of intracerebral hemorrhagic cyst, to be reported here, and the discussion are submitted for consideration of the differential diagnosis between intracerebral hemorrhagic cyst and porencephaly, and to help clarify the nature and course of hemorrhagic cysts within the intracerebral environment. Various diagnoses had been made in the patient concerned, several favoring porencephaly, based on, what will later emerge, a misinterpretation of the Pneumoencephalograms. Since the results of surgical treatment of intracerebral hemorrhagic cysts are often very satisfactory, it seems clear that an alertness to the need of distinguishing it from porencephaly, which is refractory to operative intervention, should be stated.

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