BILATERAL ARACHNOID CYSTS, SEIZURES AND SEVERE ENCEPHALOPATHY - CASE-REPORT

A case is presented of a 3 1/2-year-old girl with a clinical picture o f very severe psychomotor retardation, autistic behavior, and repetiti ve convulsive episodes starting in the neonatal period and resistant t o any pharmacological treatment. Electroencephalography showed general ized abnormalities. Magnetic resonance imaging of the brain disclosed arachnoid cysts in both temporal fossae with marked hypoplasia of both temporal lobes. It is proposed that the severity of symptoms is relat ed to the magnitude of underlying anatomical lesions as well as the as sociated intractable epilepsy.