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Is An MRI Scan Required For Diagnosing The Cause Of Hydrocephalus?

Posted on Tue, 26 Mar 2019

Question: dear doctor, i had a boy, he is just 1 year old for now. we found his ventricles (lateral and thrid) enlarged since he was 7 months old. and weÂ followed up his status with ultrasonic scan each months for hydrocephalus symptom. in last 3 months, his ventricles kept stable and do not increased but were at high level for hydrocephalus (about 15 to 16mm for lateral ventricles and 10mm for third ventricle). i'd like to know what is his outcome with this status? we also took him for physical therapy since we found the issue. now he can seat and stand with support. what we should do for now? Is there any kind of medicine treatment? thank you very much for your help, regards

Answered by Dr. Sudhir Kumar (51 minutes later)

Brief Answer:

MRI brain should be done.

Detailed Answer:

Hi,

I have noted your son's ultrasound and clinical details. I would prefer that he undergoes MRI brain to find out the cause of hydrocephalus. Most importantly, we need to exclude any obstruction in the CSF flow due to a condition called as aqueductal stenosis. If this condition is excluded, then, there is no need to worry. You should continue physiotherapy.

I sincerely hope my reply has helped you.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sudhir Kumar, Neurologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (12 hours later)

dear doctor, we did MRI scan since we found his issue. there was no abnormal finding, just need follow up with hydrocephalus as the report. the ultrasound scanner suspected it could an issue of aquaductal stenosis at sylvius. however, cause the ventricle is stable, and not increased so do you think that we should continue to follow up or need a surgeon? and how long that we should follow up so that we can know for sure it's just a benign ventriculomegaly or not? thank you doctor, regards.

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:

Please upload the MRI brain report.

Detailed Answer:

Hello,

Please upload the MRI brain report. After that, I can guide you whether or not to see a neurosurgeon, and regarding the duration of follow up needed.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sudhir Kumar, Neurologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (13 hours later)

dear doctor, please see attached for the pictures I took from the report.

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:

I saw the attached report.

Detailed Answer:

Hello,

I saw the attached MRI report, which is not written in proper English. So, I could not make out much. Moreover, there are no pictures attached.

I request you to send a report with proper English and also attach the MRI brain pictures.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sudhir Kumar, Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sudhir Kumar (4 hours later)

The report is non english language, Iust got it translated from google. So it got some error, sorry for that.

Answered by Dr. Sudhir Kumar (4 hours later)

Brief Answer:

I thought so.

Detailed Answer:

Hello,

Looking at the report, I guessed it was not prepared by a radiologist who knows English. As far as I can make out, there was no obstruction to the CSF flow and there is no pressure due to CSF on the adjacent brain. In this situation, there is no need to worry.

However, I would request you to get Neurosurgeon's opinion once.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sudhir Kumar, Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sudhir Kumar (3 hours later)

dear doctor, thank you for the info. one thing that i forgot noting you that you can refer to my boy brain images on the following pages after the main report. i could not attach saparated images to the server. so i combined and sent 1 report file to you. hope the image is clear enough for you to review. best regards

*****************************************************

dear doctor, thank you very much for your help. i understood my son status more and feel better. best regards.

Answered by Dr. Sudhir Kumar (12 hours later)

Brief Answer:

Seen the images.

Detailed Answer:

Hello,

Yes, I saw the MRI images.

Ventricles are large, but there is no evidence of increased intracranial pressure. So, there is no need to see a neurosurgeon and there is no need for surgery.

Hope I have answered your query.

Take care

Regards,
Dr Sudhir Kumar, Neurologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar