Corpus callosum changes following obstructive hydrocephalus

Case contributed by Dr Alessandro Spano Mello

Presentation

Female with headache and gait abnormality. Hydrocephalus caused by neurocysticercosis.

Patient Data

Age: 75 years
Gender: Female

MRI sequences demonstrate obstructive hydrocephalus with periventricular white matter T2 hyperintense signal.

CT

Follow-up post ventricular shunt CT.

CT follow-up demonstrates corpus callosum hypodensity and with normal thickness. Ventricular shunt in situ. 

Case Discussion

A 75-year-old female with obstructive hydrocephalus caused by neurocysticercosis. 

The initial MRI demonstrates a thinned and stretched corpus callosum. At the CT follow-up, the corpus callosum becomes hypodense and with normal thickness.

The long-standing compression of the corpus callosum fibers caused by hydrocephalus leads to signal and density changes, better seen following shunt insertion.

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Case information

rID: 32408
Published: 25th Nov 2014
Last edited: 14th Jun 2018
Inclusion in quiz mode: Included

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