Chiari type II malformation

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Headache and vomiting. CT was requested to rule out VP shunt obstruction.

Patient Data

Age: 6 years
Gender: Female
ct

Several features of Chiari II are seen in this case include tectal peaking, heart shape incisura, tentorial defect and towered cerebellum, slit like 4th ventricle, partial corpus callosum agenesis and large foramen magnum. VP shunt is seen in situ with adequate decompression of lateral ventricles.

Case Discussion

The patient had lumbar meningocele operated shortly after birth with placement of V-P shunt

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