Benign enlargement of the subarachnoid space in infancy

Case contributed by Tariq Walizai
Diagnosis almost certain

Presentation

History of fits for 2.5 month

Patient Data

Age: 8 months

There is widening of bi-frontal and anterior hemispheric CSF spaces which measures about 8mm without evidence of flattening of underlying gyri.

Posteriorly gyri are within normal limits.

Brain parenchyma appears unremarkable. Grey-white matter differentiation is intact.

Ventricular system is within normal limits.

Case Discussion

Current CT findings and age of the patient are concerning for benign enlargement of the subarachnoid space in infancy (BESS) which is characterized by dilatation of the subarachnoid spaces and is most common in children.

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