Aqueductal stenosis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Increased head circumference with a moderate psychomotor retardation.

Patient Data

Age: 5 years
Gender: Female
mri

Marked dilatation of the 3rd and lateral ventricles with colpocephaly. No significant transependymal oedema. Normal size and configuration of the 4th ventricle. The sagittal FIESTA sequence shows aqueduct stenosis (web or diaphragm).

Dysgenesis of the corpus callosum.

Annotated image

Annotated image: the green arrow indicated the site of the aqueductal stenosis (web or diaphragm).

Case Discussion

MRI features of an obstructive hydrocephalus due to aqueductal stenosis (web or diaphragm) with associated corpus callosal dysgenesis.

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