Concluded Case

Colloid Cyst of 3rd ventricle with obstructive hydrocephalus

New Case. 19 yr ,M, Enhineering student was Evaluated for head ache mostly while stooping forward since 6 months,blurring of vision both eyes since 6 weeks. He denied having vomiting ,unsteadiness,motor / sensory symptoms.CT BRAIN WAS DONE & VP shunt was done out side about 3 weeks ago. For further management he attended the OPD . On exm bilateral early papilledema. Intact cranial nerves. Motor system gr 5/ 5 power DTRS bilaterally hyperactive knee jerks.Plantats downgoing. Mild tandom walking abnormality noted. Intact sensations.Ref to Neurosurgeon for further management. Diagnosis and further nanagement?

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Concluded answer
Thanks Curofy and others who answered the case. MRi - A well defind rounded FLAIR heterogeneously hyperintense lesion with hypointense foci/ T1 homogeneously isointense to white matter with out enhancement at the level of Foramen of Mandro causing moderate dialatation of bilateral lateral ventricles suggestive of COLLOID CYST OF 3RD VENTRICLE . *Craniectomy defect in the rt frontal region ,ventricular drainage catheter passing through the craniectomy site in to the rt lateral ventricle its tip in the rt occipital horn. * Pneumocephalus with in the frontal hornsof bilateral lateral ventricles bilateral frontal and parietal regions. * Acutethin SDH in bilateral fronto temporal regions. * Intraventricular Hemorrhage in the body & occipital horns of bil lateral ventricles. Pt sounder Neurosurgeon .Rept shunt only done. Waiting for further nanagement
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Thanks Curofy and others who answered the case. MRi - A well defind rounded FLAIR heterogeneously hyperintense lesion with hypointense foci/ T1 homogeneously isointense to white matter with out enhancement at the level of Foramen of Mandro causing moderate dialatation of bilateral lateral ventricles suggestive of COLLOID CYST OF 3RD VENTRICLE . *Craniectomy defect in the rt frontal region ,ventricular drainage catheter passing through the craniectomy site in to the rt lateral ventricle its tip in the rt occipital horn. * Pneumocephalus with in the frontal hornsof bilateral lateral ventricles bilateral frontal and parietal regions. * Acutethin SDH in bilateral fronto temporal regions. * Intraventricular Hemorrhage in the body & occipital horns of bil lateral ventricles. Pt sounder Neurosurgeon .Rept shunt only done. Waiting for further nanagement
Cystic mass ??arachnoid cyst
Thank you doctor
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It's a colloid cyst of third ventricle..The shunt should not have been done..Also it is done with faulty technique..This will hamper entry into ventricle for cyst excision... Ask your neurosurgeon to tie the shunt, wait for 2-3 days and then go for endoscopic or microscopic cyst drainage excision
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Thanks Curofy
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New case Curofy