EURORAD ESR

Case 13994

Atretic parietal cephalocele: Prognosis and embryological perspective with key radiological characteristics

Author(s)
Robert Stuver, Jennifer Sasson, Zain Badar, Sejal Patel, Anthony Mohamed, Rajiv Mangla

SUNY Upstate Medical University Hospital,
SUNY Upstate Medical University,
Department of Radiology;
750 East Adams Street
13210 Syracuse, NY, United States of America;
Email:stuverr@upstate.edu
 
Patient
male, 5 week(s)
 
 
  • Figure 1
    Sagittal T1-Weighted Post-Contrast MRI

    Note the parietal cephalocele (red arrow) communicating with the posterior interhemispheric cyst (blue arrow). A prominence of the superior cerebellar cistern (green arrow) and a persistent falcine sinus (orange...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Contrast agent-other; Special Focus: Congenital;
     
     
  • Figure 2
    Sagittal T2-Weighted MRI

    Note the cigar-shaped CSF tract (green arrow) communicating with the cephalocele (red arrow), with the tract inferior to the falcine sinus (blue arrow). Prominence of the superior cerebellar cistern (orange arrow) is...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Contrast agent-other; Special Focus: Congenital;
     
     
  • Figure 3
    Axial T2-Weighted MRI

    Note the spinning-top configuration (red arrow) of the tentorial incisura resulting from the prominent superior cerebellar cistern and the high positioning tentorium.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Contrast agent-other; Special Focus: Congenital;
     
     
  • Figure 4
    Coronal T1-Weighted MRI

    Note the superior peaking (high positioning) of the tentorium.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Contrast agent-other; Special Focus: Congenital;
     
     
  • Figure 5
    Sagittal MR Venogram

    Note the persistent falcine sinus (red arrow) with the internal cerebral veins and the vein of Galen draining into the falcine sinus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Contrast agent-other; Special Focus: Congenital;
     
     
  • Figure 6
    Coronal MR Venogram

    Note the focal fenestration of the superior sagittal sinus (red arrow).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Contrast agent-other; Special Focus: Congenital;
     
     
  • Figure 7
    Longitudinal Grayscale Ultrasound

    Note the hypoechoic, parietal subgaleal fluid collection (red arrow) with heterogeneous internal echogenicity (blue arrow) representing fibrous tissue. A hypoechoic fibrous tract (orange arrow) is identified coursing...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Note the parietal cephalocele (red arrow) communicating with the posterior interhemispheric cyst (blue arrow). A prominence of the superior cerebellar cistern (green arrow) and a persistent falcine sinus (orange arrow) are also noted.
 
Note the cigar-shaped CSF tract (green arrow) communicating with the cephalocele (red arrow), with the tract inferior to the falcine sinus (blue arrow). Prominence of the superior cerebellar cistern (orange arrow) is redemonstrated.
 
Note the spinning-top configuration (red arrow) of the tentorial incisura resulting from the prominent superior cerebellar cistern and the high positioning tentorium.
 
Note the superior peaking (high positioning) of the tentorium.
 
Note the persistent falcine sinus (red arrow) with the internal cerebral veins and the vein of Galen draining into the falcine sinus.
 
Note the focal fenestration of the superior sagittal sinus (red arrow).
 
Note the hypoechoic, parietal subgaleal fluid collection (red arrow) with heterogeneous internal echogenicity (blue arrow) representing fibrous tissue. A hypoechoic fibrous tract (orange arrow) is identified coursing toward the cranial defect.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version