Asymmetry of the lateral ventricles

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Chronic headaches.

Patient Data

Age: 30 years
Gender: Female
This study is a stack
Sagittal
T1
This study is a stack
Axial
FLAIR
This study is a stack
Coronal
T2
This study is a stack
Axial
T2
This study is a stack
Axial
T1 C+
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Info

There is an asymmetric enlargement of the lateral ventricles, larger on the left with no underlying structural abnormality.

The rest of the MR exam is unremarkable

Case Discussion

Case of asymmetry of the lateral ventricles (ALV), which is considered as an anatomic variant in most cases. Usually the left side is more commonly larger than the right side (as in this case).

A Canadian study (1990), as well as a recent Turkish study, found that the headache was more common in those with asymmetry of the lateral ventricles than normal controls.

 

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