Left hemispheric porencephalic cyst with raised ICP

3 yr old girl child, FTND, with normal developemental milestones presented with

History:-

1. Right focal seizures with secondary generalization associated with low grade fever-2.5 months

2. Right foot deformity since childhood-under Orthopaedic treatment since then

Examination:-

Right club foot with weakness

Investigations:-

NCCT head-left hemispheric Proencephalic Cyst

MRI brain-same findings as on NCCT head with clear features of raised pressure-midline shift, enlarged left hemisphere, diverticulum from lateral ventricle.

Treatment :

Endoscopic Fenestration of Septum Pellucidum