Porencephaly is a disorder of Central nervous system characterized by cysts/ cavities in the cerebral hemisphere. It has varied clinical manifestations like seizures, paresis, learning disabilities, mental retardation and rarely psychiatric manifestations. Among psychiatric symptoms, psychosis is the most commonly seen manifestation. There have been only few case reports of porencephaly presenting with psychiatric syndromes. Hereby the author discusses a unique case of porencephaly with seizure disorder, organic personality change and agitated depression.
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