Hydranencephaly

Case contributed by Frank Gaillard
Diagnosis certain

Neonatal ultrasound

ultrasound

There is marked enlargement of fluid spaces with little if any overlying cerebral parenchyma except for the posterior fossa and para medial location along the falx. 

CT brain

ct

The posterior fossa structures are inferiorly displaced and the fourth ventricle is not well seen. Higher cuts demonstrate marked cerebral destruction of both cerebral hemispheres predominately in the distribution mid cerebral arteries with minimal residual tissue identified both anteriorly and posteriorly. The anterior fontanelle is bulging.

Case Discussion

This case demonstrates typical CT and ultrasound appearances of hydranencephaly, which is in almost all cases not compatible with significant post natal survival. 

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