Document Type

Article (Restricted)

Publication Date

1-1-2013

Abstract

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.

Keywords

Hydrocephalus Magnetic resonance imaging Infant Premature Ventriculostomy 3-dimensional constructive interference endoscopic 3rd ventriculostomy steady-state mri management sequences 3d

Divisions

fac_med

Publication Title

Child's Nervous System

Volume

29

Issue

1

Publisher

Springer

Additional Information

ISI Document Delivery No.: 064JN Times Cited: 0 Cited Reference Count: 18 Fadzli, Farhana Ramli, Norlisah Mohamad Rahmat, Kartini Ganesan, Dharmendra University Malaya Research Grant RG178/09HTM The authors gratefully acknowledge support from University Malaya Research Grant (RG178/09HTM). Springer New york

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