By Girish Fatterpekar, Thomas P. Naidich, Peter M. Som
Sensible and clinically concentrated, mind and backbone Imaging - a name within the educating records sequence - offers you over three hundred attention-grabbing and well-presented circumstances that will help you greater diagnose any disorder of the mind and backbone. specialist within the box, Dr. Girish Fatterpekar, MD makes use of a logical association all through, making referencing tough diagnoses more uncomplicated than ever ahead of. precise discussions of ultra-modern modalities and applied sciences preserve you brand new, and tough diagnostic questions probe your wisdom of the cloth. This distinctive, case-based source provide you with an effective way to sharpen your diagnostic abilities and examine for board assessments.
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Axial CT scan of the brain, bone window (Fig. 3), demonstrates open anterior fontanelle. No other skeletal dysplasias were seen. Extensive workup did not reveal any underlying etiology. Diagnosis: Persistent open anterior fontanelle, likely normal. DISCUSSION Definition/Background The anterior fontanelle is the largest fontanelle, and is placed at the junction of the sagittal, coronal, and frontal sutures. It usually closes by 2 years of age, with the range of normal closure times generally regarded to be 4–26 months.
Patients with unilateral clefts with fused lips may have mild hemiparesis and seizures but otherwise have normal development. When the cleft is open, patients present with mild-to-moderate developmental delay and hemiparesis; severity is related to the extent of cortex involved in the defect. Patients with bilateral clefts present with severe mental deficits and severe motor anomalies, including spastic quadriparesis. 22 Characteristic Radiologic Findings CT and MR can be used to evaluate for schizencephaly.
Diagnosis: Chiari II malformation. Figure 3. Coronal T2WI demonstrates a towering cerebellum (arrows). Case 13 e1 Figure 6. In another patient, sagittal T1WI demonstrates a crowded, relatively small posterior fossa, and concave clivus (arrowhead). Also noted is partial agenesis of corpus callosum. These findings raise the possibility of Chiari II malformation with partial agenesis of corpus callosum. Figure 5. In a different patient, axial T1WI demonstrates tectal beaking and cerebellum creeping around the brain stem suggestive of Chiari II malformation.
Brain and Spine by Girish Fatterpekar, Thomas P. Naidich, Peter M. Som