OBSTRUCTIVE HYDROCEPHALUS AND AMNIOTIC BAND ( 3D )


This was a lady in her mid twenties ; gravida 3  with 2 abortions ( at 2 months of GA , each time ) was referred for evaluation of dangling choroid plexus and ? amniotic strand dividing the uterus .

Scan showed dangling choroid plexus

BPD and HC  increased  TO > 97 %TILE

BPD and HC increased TO > 97.7 %TILE with prominent hydrocephalus

lateral ventricles and the 3rd ventricle are dilated.

OBST HYDROCEPHALUS  AMNIOTIC BAND_2

OBST HYDROCEPHALUS  AMNIOTIC BAND_8

the 4th ventricle and the cisterna magna appear to be normal.

OBST HYDROCEPHALUS  AMNIOTIC BAND_11

the level of obstruction is likely to be between the 3rd and the 4th ventricle .

the spine appeared to be normal.

OBST HYDROCEPHALUS  AMNIOTIC BAND_3

OBST HYDROCEPHALUS  AMNIOTIC BAND_4

the thorax and the abdominal organs appeared to be normal.

An amniotic band was seen .

OBST HYDROCEPHALUS  AMNIOTIC BAND_25

multi planar view of the same OBST HYDROCEPHALUS  AMNIOTIC BAND_21

reconstructed images show the amniotic band either very close to the right shoulder of the fetus or attached to it .

please see the following images and give your valuable views.

OBST HYDROCEPHALUS  AMNIOTIC BAND_27

OBST HYDROCEPHALUS  AMNIOTIC BAND_31

OBST HYDROCEPHALUS  AMNIOTIC BAND_33

OBST HYDROCEPHALUS  AMNIOTIC BAND_35

This patient in my view had obstructive hydrocephalus ( with the level of obstruction between 3rd and 4th ventricles )

A prominent amniotic band was seen , with the right shoulder of the fetus ? attached to the amniotic band .

The patient wanted a second opinion and was referred . Yet to receive further information.

All those who view this are requested to give your view points.

15 thoughts on “OBSTRUCTIVE HYDROCEPHALUS AND AMNIOTIC BAND ( 3D )

  1. Well done sir.Yes it is a case of obstructive hydrocephalus with obstruction between 3rd & 4th ventricles.there is an amniotic band attatched to Rt.Shoulder of the fetus.Excellent images .Appreciated.

    Like

  2. Definitely looks like your case was well made: amniotic band syndrome of the the rt shoulder as well as the obstructive hydrocephalus. Excellent images!

    Like

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