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.
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Acknowledgment
The authors gratefully acknowledge support from University Malaya Research Grant (RG178/09HTM).
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Fadzli, F., Ramli, N.M., Rahmat, K. et al. Neonatal post-hemorrhagic hydrocephalus resulting in foraminal septae—radiological technique and surgical implications. Childs Nerv Syst 29, 159–162 (2013). https://doi.org/10.1007/s00381-012-1923-5
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DOI: https://doi.org/10.1007/s00381-012-1923-5