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

• Main Authors: Fadzli, F., Ramli, N.M., Rahmat, K., Ganesan, D.
• Format: Article
• Language: English
• Published: Springer 2013
• Subjects: R Medicine
• Online Access: http://eprints.um.edu.my/11228/1/Fadzli-2013-Neonatal_post-hemorr.pdf; http://eprints.um.edu.my/11228/; http://www.sciencedirect.com/science/article/pii/S0720048X14002502
• Institution: Universiti Malaya

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.