Date : 00.00.00
Name of the Patient : Abc Xyzue Ilmn / M / 20 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, speech disturbances and diplopia since 5-6 days with bladder dysfunction since 2 days.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
There is moderate dilatation of both the lateral, third and the fourth ventricles. Subtle periventricular hyperintense signal on the proton, T2 Weighted and FLAIR images is noted around the fourth ventricle and would represent CSF ooze. There appears to be a block at the foramina of magendie and Luschka with a resultant trapped fourth ventricle.
There is effacement of the sulcal spaces and the basal cisternal spaces bilaterally. No obvious vascular anomaly is identified on this study.
The cervical spine was screened with 4 mm thick T1 Weighted and T2 Weighted sagittal images. Altered signal is noted in the visualized cervical spinal cord, centrally, which may represent a Syrinx. There is slight inferior herniation of the cerebellar tonsils.
The MRI features suggest moderate communicating hydrocephalus with a probable trapped fourth ventricle.
Screening images of the cervical spine suggest a Syrinx.
A dedicated study of the cervical spine is indicated.