Child's Nervous System

, Volume 29, Issue 1, pp 159–162 | Cite as

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

  • Farhana Fadzli
  • Norlisah Mohamad Ramli
  • Kartini Rahmat
  • Dharmendra Ganesan
Case Report
First Online:
Received:
Accepted:

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.

Keywords

Hydrocephalus Magnetic resonance imaging Infant Premature Ventriculostomy 
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Notes

Acknowledgment

The authors gratefully acknowledge support from University Malaya Research Grant (RG178/09HTM).

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Farhana Fadzli
    • 1
  • Norlisah Mohamad Ramli
    • 1
  • Kartini Rahmat
    • 1
  • Dharmendra Ganesan
    • 2
  1. 1.Department of Biomedical ImagingUniversity Malaya Research Imaging Centre (UMRIC), Faculty of Medicine, University of MalayaKuala LumpurMalaysia
  2. 2.Division of Neurosurgery, Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia

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