Pachymeningeal enhancement

Case contributed by Augusto César Vieira Teixeira
Diagnosis almost certain

Presentation

Clinical diagnosis of normal pressure hydrocephalus and posterior placement of a ventriculoperitoneal shunt catheter.

Patient Data

Age: 50 years
Gender: Male
mri
This study is a stack
Axial
T2
This study is a stack
Axial
T1 C+
This study is a stack
Coronal
T1 C+
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Info

MRI sequences showing a smooth meningeal thickening, dural enhacement and a minimal subdural collection bilaterally. A ventriculoperitoneal catheter is observed at the right side.

Case Discussion

The MRI findings can allow us to the diagnosis of a dural thickening secondary to an intracranial liquor hypotension.

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