First Seizure in an Adult: Porencephalic Cyst A Cause?

Porencephalic cyst is quite a rare entity in adults with only a few cases reported so far. It is usually congenital and seen in neonates. Here, we report a 45-year-old female who presented with first episode of generalized tonic and clonic seizures. On evaluation, she was found to have a porencephalic cyst brain imaging. She was started on anti-epileptic drugs and is on follow up.