# Ventriculoperitoneal shunt for giant porencephaly: a case report and literature review

## TL;DR

A 25-year-old man with severe head pain was diagnosed with giant porencephaly through MRI and successfully treated with a ventriculoperitoneal shunt.

## Contribution

This case report provides a rare clinical example of giant porencephaly treated with a ventriculoperitoneal shunt.

## Key findings

- MRI confirmed the presence of giant porencephaly in a 25-year-old male.
- Ventriculoperitoneal shunt surgery relieved symptoms of intracranial hypertension.
- Individualized treatment is essential for managing porencephaly due to variable clinical presentations.

## Abstract

Porencephaly (POR) is an exceedingly rare neurological disorder characterized by the presence of solitary or multiple regressive cerebrospinal fluid (CSF) cavities within the brain parenchyma. Currently, there is a limited understanding of the pathogenesis and treatment options for this condition, and clinical presentations can vary significantly. However, imaging plays a crucial role in diagnosis and determining the optimal treatment strategy, necessitating individualized comprehensive treatment upon detection. We reported a 25-year-old male case with persistent head pain that did not resolve with rest. Magnetic resonance imaging (MRI) confirmed the giant POR, and we finally performed a ventriculoperitoneal shunt, and the symptoms of intracranial hypertension were relieved after surgery.