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Periventricular enhancement following intraoperative CT cisternography in a patient with Dandy-Walker syndrome. Case
1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
Neurosurgical Review
|January 1, 1997
Insights
A rare finding of strong periventricular enhancement was observed in an infant with Dandy-Walker syndrome and occipital cephalocele using intraoperative CT cisternography. This case highlights imaging findings and discusses potential causes.
Area of Science:
- Neurology
- Pediatric Radiology
- Medical Imaging
Background:
- Dandy-Walker syndrome is a congenital brain malformation.
- Occipital cephalocele is a neural tube defect involving protrusion of the brain through an opening in the skull.
- Intraoperative imaging is crucial for complex pediatric neurosurgical cases.
Observation:
- A rare finding of strong periventricular enhancement was noted.
- Intraoperative CT cisternography using Iotrolan was performed.
- The patient was a one-month-old boy.
Findings:
- The enhancement was localized periventricularly.
- CT cisternography provided detailed anatomical visualization.
- The study demonstrates chronological findings of intraoperative CT scanning.
Implications:
- This case contributes to understanding imaging characteristics in complex congenital brain anomalies.
- Etiological considerations for the observed enhancement are discussed.
- Highlights the utility of intraoperative CT cisternography in pediatric neurosurgery.
Abstract:
The rare finding of strong periventricular enhancement was observed by means of intraoperative CT cisternography using Iotrolan in a one-month-old boy with Dandy-Walker syndrome associated with occipital cephalocele. Chronological findings of intraoperative CT scanning are demonstrated and etiological considerations are discussed.