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Non communicating hydrocephalus due to aqueductal stenosis

Singh AS - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Non communicating hydrocephalus due to aqueductal stenosis

History: 21 yr old pregnant female at 11 wks of gestation presents with two weeks history of severe headache. She reports recent MVC one week prior to presentation to the ED. Subsequently, she noted a remote history of salmonella meningitis as a child.

Findings: CT imaging without contrast showed ventricular enlargement of lateral and third ventricles with a normal fourth ventricle. Subsequent MRI confirmed the CT findings without evidence of transependymal flow of CSF. High resolution MRI demonstrated multiple thin septations in the aqueduct of Sylvius. MR imaging with CINE CSF flow study (not depicted) showed no significant CSF flow through the cerebral aqueduct.

Ddx: Communicating vs. Non-communicating Hydrocephalus

Dxhow: The diagnosis was confirmed by the imaging studies.

Exam: Non-contributory. Non-focal neuro exam.

No MeSH data available.


A high resolution 3D FIESTA sagittal MR image demonstrates significant narrowing in the cerebral aqueduct with two septations present.
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MPX1544_synpic54566: A high resolution 3D FIESTA sagittal MR image demonstrates significant narrowing in the cerebral aqueduct with two septations present.


Non communicating hydrocephalus due to aqueductal stenosis

Singh AS - MedPix (2010)

A high resolution 3D FIESTA sagittal MR image demonstrates significant narrowing in the cerebral aqueduct with two septations present.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1544&req=5

MPX1544_synpic54566: A high resolution 3D FIESTA sagittal MR image demonstrates significant narrowing in the cerebral aqueduct with two septations present.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Non communicating hydrocephalus due to aqueductal stenosis

History: 21 yr old pregnant female at 11 wks of gestation presents with two weeks history of severe headache. She reports recent MVC one week prior to presentation to the ED. Subsequently, she noted a remote history of salmonella meningitis as a child.

Findings: CT imaging without contrast showed ventricular enlargement of lateral and third ventricles with a normal fourth ventricle. Subsequent MRI confirmed the CT findings without evidence of transependymal flow of CSF. High resolution MRI demonstrated multiple thin septations in the aqueduct of Sylvius. MR imaging with CINE CSF flow study (not depicted) showed no significant CSF flow through the cerebral aqueduct.

Ddx: Communicating vs. Non-communicating Hydrocephalus

Dxhow: The diagnosis was confirmed by the imaging studies.

Exam: Non-contributory. Non-focal neuro exam.

No MeSH data available.