Presentation
Enlarging head size since birth, antenatally detected hydrocephalus.
Patient Data
Age: 5 years
Gender: Male
From the case:
Aqueductal web
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There is gross triventricular obstructive hydrocephalus seen with shunt in situ, the 4th ventricle is normal.
A sagittal thin-section 3D Spoiled Gradient-Echo (SPGR) T1-weighted sequence reveals a web at aqueduct causing obstruction.
Case Discussion
An aqueductal web is a membrane composed of fibrillary neuroglia. It is important to recognize this entity separately from aqueductal stenosis as it is surgically curable.
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