Presentation
Infant with macrocephaly and "sunset eyes".
Patient Data
Age: 2 months
Gender: Male
From the case:
Blake's pouch cyst
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/77424/annotated_viewer_json?c=1680668207\u0026lang=us"}



Severely dilated ventricles. Blake's pouch cyst. Extra axial fluid collection.
From the case:
Blake's pouch cyst
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/77425/annotated_viewer_json?c=1680668207\u0026lang=us"}



Right extra axial fluid collection. Small left posterior subacute subdural hematoma. Dilated lateral and third ventricles. Blake's pouch cyst. Normal appearing cerebellar vermis
Case Discussion
Blake's pouch cyst is a developmental abnormality of the posterior fossa that causes hydrocephalus. In this case the hydrocephalus was severe and present at age 2 months, and there is associated developmental delay.