Presentation
Enlarged head size in a child with a history of birth asphyxia.
Patient Data
The MRI sequences demonstrate a dilatation of the 3rd and lateral ventricles with normal size and configuration of the 4th ventricle. There is an aqueduct stenosis (web or diaphragm) seen on the sagittal Fiesta.
Bilateral hyperintense T2, and FLAIR signal intensity of thalami, and posterior periventricular white matter extending the perirolandic cortex (sequelae of neonatal hypoxic-ischemic brain injury).
Case Discussion
Case of aqueductal stenosis in a patient with sequelae of neonatal hypoxic-ischemic brain injury.
Aqueductal stenosis is considered as the most common cause of congenital obstructive hydrocephalus, It can also be seen in adults as an acquired abnormality.
Additional contributor: R. Bouguelaa, MD
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