ECR 2018 / C-0621
The value of CSF flow studies in the management of CSF disorders in children
Type:
Educational Exhibit
Keywords:
Cerebrospinal fluid, Diagnostic procedure, MR, Paediatric, Neuroradiology brain, CNS
Authors:
S. A. Mohammad, N. Osman; Cairo/EG
DOI:
10.1594/ecr2018/C-0621
Background
- CSF flow disorders are frequently encountered in children.
Recently the advent in MRI technology has been led to better understanding of CSF flow disorders [1].
Flow sensitive MRI techniques and three-dimensional high-resolution sequences have been applied for functional and anatomical assessment of CSF flow dynamics respectively [2,3].
- Hydrocephalus and ventriculomegaly ex-vacuo can be differentiated.
Moreover, these studies can discriminate between communicating and non-communicating hydrocephalus with accurate localization of the site of obstruction [4].
Assessment of arachnoid cysts and determination of CSF movement alteration in cases with Chiari and Dandy-Walker malformations can be properly performed [2,5].
- In addition to shunt surgeries,
interventional procedures such as endoscopic third ventriculostomy and aqueductoplasty are among the treatment options.
Accurate diagnosis of the site of obstruction and detection of combination of pathologies are crucial for proper selection of the treatment strategy and improving the postoperative outcome [5,6].