EURORAD ESR

Case 14644

Cerebral aqueductal web causing hydrocephalus in a case of Neurofibromatosis type-1

Author(s)
Ahire Pankaj

Paras MRI Scan Centre,
Citypride, Jalna Road,
Aurangabad.
431001, MS, India.
Email:drpankaj_77@rediffmail.com
 
Patient
female, 5 year(s)
 
 
  • Figure 1
    Cutaneous lesions
     

    Frontal photograph of the patient's right forearm showing large brown coloured café au lait spots.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: Image manipulation / Reconstruction; Procedure: History; Special Focus: Genetic defects;

    Frontal photograph of the patient's left hand showing large brown coloured café au lait spot.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: Image manipulation / Reconstruction; Procedure: History; Special Focus: Genetic defects;

    Frontal photograph of the face showing small brown coloured café au lait spots on forehead and nose.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: Image manipulation / Reconstruction; Procedure: History; Special Focus: Genetic defects;
     
     
  • Figure 2
    MRI Brain FLAIR sequence
     

    FLAIR axial image showing hyperintense lesions in bilateral cerebellar white matter s/o hamartomas. Fourth ventricle is normal. No mass effect of hamartomas.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    FLAIR axial image showing hyperintense lesions in bilateral cerebellar white matter s/o hamartomas. Fourth ventricle is normal with dilated temporal horns of lateral ventricles and third ventricle.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    FLAIR axial image showing hyperintense lesions in bilateral cerebellar white matter s/o hamartomas. Cerebral aqueduct is effaced with dilated temporal horns of lateral ventricles and third ventricle.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;

    FLAIR axial image showing hyperintense lesions in bilateral globus pallidi s/o hamartomas. Supratentorial hydrocephalus is seen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    FLAIR axial image showing hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;
     
     
  • Figure 3
    MRI Brain T2W sequence
     

    T2W axial image showing patchy hyperintense lesions in bilateral cerebellar white matter s/o hamartomas.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    T2W axial showing effaced cerebral aqueduct with dilated temporal horns and third ventricle.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;

    T2W axial image showing hyperintense lesions in globus pallidi s/o hamartomas.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    T2W axial image showing hydrocephalus with choroid plexus cysts bilaterally.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;
     
     
  • Figure 4
    MRI Brain T1W sequence
     

    T1W sagittal image showing aqueductal obstruction with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;

    Post contrast T1W sagittal image showing aqueductal obstruction with supratentorial hydrocephalus. No abnormal enhancement seen on postcontrast study.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;

    Post contrast T1W coronal image showing aqueductal obstruction with supratentorial hydrocephalus. No abnormal enhancement seen on postcontrast study.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;
     
     
  • Figure 5
    MRI Brain FIESTA sequence
     

    FIESTA right parasagittal image showing obstruction at cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;

    FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Obstruction / Occlusion;

    FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Obstruction / Occlusion;

    FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Obstruction / Occlusion;

    FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Obstruction / Occlusion;

    FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Obstruction / Occlusion;

    FIESTA left parasagittal image showing obstruction at cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Obstruction / Occlusion;

    FIESTA left parasagittal image showing obstruction at cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Obstruction / Occlusion;

    FIESTA left parasagittal image showing obstruction at cerebral aqueduct with supratentorial hydrocephalus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Obstruction / Occlusion;
     
     
Frontal photograph of the patient's right forearm showing large brown coloured café au lait spots.
 
Frontal photograph of the patient's left hand showing large brown coloured café au lait spot.
 
Frontal photograph of the face showing small brown coloured café au lait spots on forehead and nose.
 
FLAIR axial image showing hyperintense lesions in bilateral cerebellar white matter s/o hamartomas. Fourth ventricle is normal. No mass effect of hamartomas.
 
FLAIR axial image showing hyperintense lesions in bilateral cerebellar white matter s/o hamartomas. Fourth ventricle is normal with dilated temporal horns of lateral ventricles and third ventricle.
 
FLAIR axial image showing hyperintense lesions in bilateral cerebellar white matter s/o hamartomas. Cerebral aqueduct is effaced with dilated temporal horns of lateral ventricles and third ventricle.
 
FLAIR axial image showing hyperintense lesions in bilateral globus pallidi s/o hamartomas. Supratentorial hydrocephalus is seen.
 
FLAIR axial image showing hydrocephalus.
 
T2W axial image showing patchy hyperintense lesions in bilateral cerebellar white matter s/o hamartomas.
 
T2W axial showing effaced cerebral aqueduct with dilated temporal horns and third ventricle.
 
T2W axial image showing hyperintense lesions in globus pallidi s/o hamartomas.
 
T2W axial image showing hydrocephalus with choroid plexus cysts bilaterally.
 
T1W sagittal image showing aqueductal obstruction with supratentorial hydrocephalus.
 
Post contrast T1W sagittal image showing aqueductal obstruction with supratentorial hydrocephalus. No abnormal enhancement seen on postcontrast study.
 
Post contrast T1W coronal image showing aqueductal obstruction with supratentorial hydrocephalus. No abnormal enhancement seen on postcontrast study.
 
FIESTA right parasagittal image showing obstruction at cerebral aqueduct with supratentorial hydrocephalus.
 
FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.
 
FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.
 
FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.
 
FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.
 
FIESTA sagittal image showing a thin web in cerebral aqueduct with supratentorial hydrocephalus.
 
FIESTA left parasagittal image showing obstruction at cerebral aqueduct with supratentorial hydrocephalus.
 
FIESTA left parasagittal image showing obstruction at cerebral aqueduct with supratentorial hydrocephalus.
 
FIESTA left parasagittal image showing obstruction at cerebral aqueduct with supratentorial hydrocephalus.
 
 
 
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