Neonatal post-hemorrhagic hydrocephalus resulting in foraminal septae-radiological technique and surgical implications
Intraventricular haemorrhage is the most common cause of hydrocephalus in a pre-term baby and may require surgical intervention depending on severity. This case illustrates foraminal septae as a subtle cause of progressive quadriventricular hydrocephalus in a child born pre-term with a history of gr...
| Main Authors: | , , , |
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| Format: | Article |
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2013
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0720048X14002502 http://www.sciencedirect.com/science/article/pii/S0720048X14002502 http://eprints.um.edu.my/11228/1/Fadzli%2D2013%2DNeonatal_post%2Dhemorr.pdf |
| Summary: | Intraventricular haemorrhage is the most common cause of hydrocephalus in a pre-term baby and may require surgical intervention depending on severity. This case illustrates foraminal septae as a subtle cause of progressive quadriventricular hydrocephalus in a child born pre-term with a history of grade III intraventricular haemorrhage. The septae within the fourth ventricular exits were clearly demonstrated with 3D-FIESTA (fast imaging employing steady-state acquisition) MRI acquisitions and assisted in differentiation from communicating hydrocephalus. This finding guided the decision to a successful endoscopic third ventriculostomy. 3D-FIESTA sequence is recommended for investigating children with hydrocephalus secondary to intraventricular haemorrhage due to its diagnostic potential and implications on surgical technique. |
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