新生儿出血后脑积水导致中脑导水管隔膜——放射学技术及手术意义

Neonatal post-hemorrhagic hydrocephalus resulting in foraminal septae-radiological technique and surgical implications.

作者信息

Fadzli Farhana, Ramli Norlisah Mohamad, Rahmat Kartini, Ganesan Dharmendra

机构信息

Department of Biomedical Imaging, University Malaya Research Imaging Centre (UMRIC), Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.

出版信息

Childs Nerv Syst. 2013 Jan;29(1):159-62. doi: 10.1007/s00381-012-1923-5. Epub 2012 Sep 21.

DOI:10.1007/s00381-012-1923-5

PMID:22996826

Abstract

BACKGROUND

Intraventricular haemorrhage is the most common cause of hydrocephalus in a pre-term baby and may require surgical intervention depending on severity.

CLINICAL CASE

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.

CONCLUSION

3D-FIESTA sequence is recommended for investigating children with hydrocephalus secondary to intraventricular haemorrhage due to its diagnostic potential and implications on surgical technique.

摘要