EURORAD ESR

Case 8708

Idiopathic unilateral hydrocephalus

Author(s)
Grech R1, Cuschieri S2, Ryan A1

1. Radiology Department, Waterford Regional Hospital, IRELAND;
2. Department of Medical Imaging, Mater Dei Hospital MALTA
 
Patient
female, 19 year(s)
 
 
  • Figure 1
    Axial CT

    CT shows gross unilateral right sided hydrocephalus. The brain parenchyma is otherwise unremarkable.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cerebrospinal fluid;
     
     
  • Figure 2
    Axial CT

    A more caudal CT image also shows dilatation of the temporal horn of the lateral ventricle.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cerebrospinal fluid;
     
     
  • Figure 3
    Axial T2W image

    T2W image at the level of the foramina of Monroe. MR confirms the CT findings and there is no evidence of an obstructing mass lesion.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cerebrospinal fluid;
     
     
  • Figure 4
    Axial T2W image

    A more cranial T2 image. There is no evidence of transependymal CSF spread.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cerebrospinal fluid;
     
     
  • Figure 5
    Axial FLAIR image

    Fluid attenuated inversion recovery image again shows hydrocephalus. No obstructing lesion is identified.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cerebrospinal fluid;
     
     
  • Figure 6
    Axial FLAIR

    FlAIR image again does not demonstrate transependymal CSF spread.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cerebrospinal fluid;
     
     
  • Figure 7
    Sagittal T2W image

    Sagittal T2W image confirms hydrocephalus. Otherwise the brain is unremarkable.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cerebrospinal fluid;
     
     
CT shows gross unilateral right sided hydrocephalus. The brain parenchyma is otherwise unremarkable.
 
A more caudal CT image also shows dilatation of the temporal horn of the lateral ventricle.
 
T2W image at the level of the foramina of Monroe. MR confirms the CT findings and there is no evidence of an obstructing mass lesion.
 
A more cranial T2 image. There is no evidence of transependymal CSF spread.
 
Fluid attenuated inversion recovery image again shows hydrocephalus. No obstructing lesion is identified.
 
FlAIR image again does not demonstrate transependymal CSF spread.
 
Sagittal T2W image confirms hydrocephalus. Otherwise the brain is unremarkable.
 
 
 
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