This is the first report of oculomotor silent symptoms and unnoticed q
uadranopic field defects in mother and child, the latter with congenit
al spastic hemiparesis, homonymous hemianopia, and disturbed ocular mo
tility, also due to a porencephalic type II cyst. Full neuro-ophthalmo
logical examination with magnetic resonance imaging (MRI) of the brain
in relatives of children with congenital spastic hemiparesis is requi
red to detect porencephaly II carriers and the evaluation of the penet
rance of a possibly porencephalic gene (familial porencephaly, MIM 175
78 MacKusick, 1988).