Joubert syndrome

Case contributed by Magdi Mahsoub
Diagnosis certain

Presentation

Gobal developmental delay and hypotonia.

Patient Data

Age: 4 years
Gender: Male
mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
DWI
This study is a stack
Sagittal
T1
This study is a stack
Coronal
T2
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Info
  • normal size and configuration of the 3rd and lateral ventricles

  • no midline shift

  • abnormal configuration (batwing) high riding 4th ventricle

  • enlarged elongated superior cerebellar peduncles with molar tooth sign

  • deep interpeduncular fossa

  • absence of the cerebellar vermis with apposition of both cerebellar hemispheres abutting each other without fusion forming a median cleft

  • dysplastic both cerebellar hemispheres

  • no definite intra or extra-axial areas of abnormal intensity

Case Discussion

This case illustrates the typical features of Joubert syndrome, with the superior cerebellar peduncles displaying the appearance of a molar tooth and the 4th ventricle displaying a batwing configuration. 

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