Corpus callosum agenesis with colpocephaly

Case contributed by Townsville radiology training
Diagnosis certain

Presentation

One week history of behavioral changes and expressive dysphasia. Otherwise normal neurological examination.

Patient Data

Age: 30 years
Gender: Male

Agenesis of corpus callosum is noted with lack of rostrum, genu, body, isthmus and splenium. Colpocephaly is seen with dilatation of the occipital horns bilaterally and prominence of temporal horns.  On the coronal series the lateral ventricles  resemble the Viking helmet of Texas long horn. Absent cingulate sulcus.  Upward extension of the third ventricle  into the inter hemispheric fissure is also noted.  Loculated hyperintense CSF fluid filled areas are noted in the posterior fossa bilaterally.

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