Susceptibility Weighted Imaging: A Novel Method to Determine the Etiology of Aqueduct Stenosis

Abstract The stenosis of aqueduct of Sylvius (AS) is a very common cause of obstruction to cerebrospinal fluid. Multiple etiologies are proposed for this condition. Because treatment is specific for correctable disorder, assessment of etiology gains importance. A case of pediatric hydrocephalus was...

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Príomhchruthaitheoirí: Chanabasappa Chavadi, Keerthiraj Bele, Anand Venugopal, Santosh Rai
Formáid: Alt
Teanga:English
Foilsithe / Cruthaithe: Thieme Medical Publishers, Inc. 2016-02-01
Sraith:Indian Journal of Neurosurgery
Ábhair:
Rochtain ar líne:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1572367
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author Chanabasappa Chavadi
Keerthiraj Bele
Anand Venugopal
Santosh Rai
author_facet Chanabasappa Chavadi
Keerthiraj Bele
Anand Venugopal
Santosh Rai
author_sort Chanabasappa Chavadi
collection DOAJ
description Abstract The stenosis of aqueduct of Sylvius (AS) is a very common cause of obstruction to cerebrospinal fluid. Multiple etiologies are proposed for this condition. Because treatment is specific for correctable disorder, assessment of etiology gains importance. A case of pediatric hydrocephalus was diagnosed with stenosis of AS on magnetic resonance imaging (MRI). Susceptibility-weighted imaging (SWI) demonstrated blooming in the distal aqueduct and lateral ventricle, which was not seen on routine MRI sequences. The findings suggest that old hemorrhage is a cause of chemical arachnoiditis and adhesions causing aqueduct stenosis and hydrocephalus. To our knowledge literature is very scarce, wherein SWI is being used to confirm blood products as a cause of aqueduct stenosis; hence SWI should be routine protocol in imaging of pediatric hydrocephalus. Etiology, clinical presentation, role of imaging, and, in particular, SWI in evaluation of aqueductal stenosis is discussed.
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spelling doaj.art-cd12e9a901b14dd7a3e06f6e0732f24a2022-12-21T23:08:33ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672016-02-01050104404610.1055/s-0036-1572367Susceptibility Weighted Imaging: A Novel Method to Determine the Etiology of Aqueduct StenosisChanabasappa Chavadi0Keerthiraj Bele1Anand Venugopal2Santosh Rai3Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Mangalore, IndiaDepartment of Radiodiagnosis, Kasturba Medical College, Manipal University, Mangalore, IndiaDepartment of Radiodiagnosis, Kasturba Medical College, Manipal University, Mangalore, IndiaDepartment of Radiodiagnosis, Kasturba Medical College, Manipal University, Mangalore, IndiaAbstract The stenosis of aqueduct of Sylvius (AS) is a very common cause of obstruction to cerebrospinal fluid. Multiple etiologies are proposed for this condition. Because treatment is specific for correctable disorder, assessment of etiology gains importance. A case of pediatric hydrocephalus was diagnosed with stenosis of AS on magnetic resonance imaging (MRI). Susceptibility-weighted imaging (SWI) demonstrated blooming in the distal aqueduct and lateral ventricle, which was not seen on routine MRI sequences. The findings suggest that old hemorrhage is a cause of chemical arachnoiditis and adhesions causing aqueduct stenosis and hydrocephalus. To our knowledge literature is very scarce, wherein SWI is being used to confirm blood products as a cause of aqueduct stenosis; hence SWI should be routine protocol in imaging of pediatric hydrocephalus. Etiology, clinical presentation, role of imaging, and, in particular, SWI in evaluation of aqueductal stenosis is discussed.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1572367susceptibility weighted imagingaqueductal stenosismagnetic resonance imaginghydrocephalus
spellingShingle Chanabasappa Chavadi
Keerthiraj Bele
Anand Venugopal
Santosh Rai
Susceptibility Weighted Imaging: A Novel Method to Determine the Etiology of Aqueduct Stenosis
Indian Journal of Neurosurgery
susceptibility weighted imaging
aqueductal stenosis
magnetic resonance imaging
hydrocephalus
title Susceptibility Weighted Imaging: A Novel Method to Determine the Etiology of Aqueduct Stenosis
title_full Susceptibility Weighted Imaging: A Novel Method to Determine the Etiology of Aqueduct Stenosis
title_fullStr Susceptibility Weighted Imaging: A Novel Method to Determine the Etiology of Aqueduct Stenosis
title_full_unstemmed Susceptibility Weighted Imaging: A Novel Method to Determine the Etiology of Aqueduct Stenosis
title_short Susceptibility Weighted Imaging: A Novel Method to Determine the Etiology of Aqueduct Stenosis
title_sort susceptibility weighted imaging a novel method to determine the etiology of aqueduct stenosis
topic susceptibility weighted imaging
aqueductal stenosis
magnetic resonance imaging
hydrocephalus
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1572367
work_keys_str_mv AT chanabasappachavadi susceptibilityweightedimaginganovelmethodtodeterminetheetiologyofaqueductstenosis
AT keerthirajbele susceptibilityweightedimaginganovelmethodtodeterminetheetiologyofaqueductstenosis
AT anandvenugopal susceptibilityweightedimaginganovelmethodtodeterminetheetiologyofaqueductstenosis
AT santoshrai susceptibilityweightedimaginganovelmethodtodeterminetheetiologyofaqueductstenosis