Name of the Patient : Abc Xyzrao Pandlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzandel.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O high blood pressure with fall on 00.00.00.
H/O loss of consciousness for 3 days, 8 days later with Shunt surgery done on 00.00.00.
Known hypertensive. On Rx.
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There is evidence of a shunt tube coursing through the right parietal lobe with its tip lying within the right occipital horn. Hyperintense areas on the T2 Weighted images are seen along the course of the shunt tube and may represent seepage of CSF (? shunt failure).
There is mild to moderate dilatation of the ventricular system.
Hyperintense areas on the T2 Weighted images are seen within the fronto-parietal and periatrial white matter bilaterally and these are most likely ischemic in etiology.
There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The visualized carotid and vertebral arteries are unremarkable.
There are no vessel wall irregularities or stenosis of the vessels noted.
1. Post-shunt status as described.
2. Mild to moderate communicating hydrocephalus.
3. Areas of altered signal within the fronto-parietal and periatrial white matter bilaterally are most likely ischemic in etiology.
4. No significant abnormality is detected on the intracranial and neck MRA on this study.