EURORAD ESR

Case 13871

Rare case of fatal ventriculitis in a term neonate following myelomeningocele repair

Author(s)
Aleksandra N. Belova, Katy L. Ruch, Geoffrey McWilliams, Thomas Sanchez

UC Davis medical center,
University of California;
Suite 3100 4860 Y St
95835 Sacramento, USA;
Email:Trsanchez@ucdavis.edu
 
Patient
male, 2 week(s)
 
 
  • Figure 1
    Initial US of the head

    Initial ultrasound of the head right after birth shows no evidence of hydrocephalus.

     
    Area of Interest: Head and neck; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    Axial head ultrasound

    Axial head ultrasound 2 weeks after uncomplicated repair of myelomeningocele showing hydrocephalus and intraventricular septations.

     
    Area of Interest: Paediatric; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    Sagittal head ultrasound

    Sagittal head ultrasound showing debris and fibrin strands within the dilated lateral ventricle.

     
    Area of Interest: Paediatric; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    CT of the head with contrast

    Head CT with contrast. Hydrocephalus was noted but with normal enhancement of the circle of Willis, symmetrical flow in the middle cerebral arteries and normal visualized segments of the anterior and posterior...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 5
    Head CT angiogram

    In addition to the diffuse hypodensity of the supratentorial brain and relative sparing of the cerebellum indicating irreversible hypoxia, there is no visible enhancement of the circle of Willis and cerebral arteries.

     
    Area of Interest: Paediatric; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
Initial ultrasound of the head right after birth shows no evidence of hydrocephalus.
 
Axial head ultrasound 2 weeks after uncomplicated repair of myelomeningocele showing hydrocephalus and intraventricular septations.
 
Sagittal head ultrasound showing debris and fibrin strands within the dilated lateral ventricle.
 
Head CT with contrast. Hydrocephalus was noted but with normal enhancement of the circle of Willis, symmetrical flow in the middle cerebral arteries and normal visualized segments of the anterior and posterior cerebral arteries.
 
In addition to the diffuse hypodensity of the supratentorial brain and relative sparing of the cerebellum indicating irreversible hypoxia, there is no visible enhancement of the circle of Willis and cerebral arteries.
 
 
 
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