[/quote]CRANIAL CT SCAN REPORT

PROTOCOL: 5mm native and contrast enhanced CT slices were acquired from the level of the roof of the mouth to the vertex, with reconstruction of the axial images in (2.5mm) sagittal and coronal planes.

Images were reviewed using brain window and bone algorithm/volume rendered.

FINDINGS:

Scanogram: There is cranio-facial disproportion in favour of the cranium(? hydrocephalus).

There is a marked dilatation of the lateral and third ventricles as well as the superior part of the aqueduct of sylvius, resulting in thining out of the cereberal cortical mantle and pressure effect on the brain stem structures.

The fourth ventricles, posterior fossa basal cirstern are unremarkable.

The cerebelum, seller, parasella and suprasellar regions are preserved.

The cerebellopontine angles and internal auditory meati are unremarkable.

No infarct, intracranial space occupying lesion, intra-axial or extra-axial haemorrhagic focus is detected.

The meninges show no sign of inflammation.

The intracranial vessels demonstrates gross normal anatomy.

The calvarium, surrounding scalp, eye globes and orbital structures are unremarkable.

CONCLUSION: CT findings of non communicating hydrocephalus 2⁰ to congenital aqueductal stenosis.[quote]

Please can people with medical experience interpret this report for me.

omakay:
CRANIAL CT SCAN REPORT

PROTOCOL: 5mm native and contrast enhanced CT slices were acquired from the level of the roof of the mouth to the vertex, with reconstruction of the axial images in (2.5mm) sagittal and coronal planes.

Images were reviewed using brain window and bone algorithm/volume rendered.

FINDINGS:

Scanogram: There is cranio-facial disproportion in favour of the cranium(? hydrocephalus).

There is a marked dilatation of the lateral and third ventricles as well as the superior part of the aqueduct of sylvius, resulting in thining out of the cereberal cortical mantle and pressure effect on the brain stem structures.

The fourth ventricles, posterior fossa basal cirstern are unremarkable.

The cerebelum, seller, parasella and suprasellar regions are preserved.

The cerebellopontine angles and internal auditory meati are unremarkable.

No infarct, intracranial space occupying lesion, intra-axial or extra-axial haemorrhagic focus is detected.

The meninges show no sign of inflammation.

The intracranial vessels demonstrates gross normal anatomy.

The calvarium, surrounding scalp, eye globes and orbital structures are unremarkable.

CONCLUSION: CT findings of non communicating hydrocephalus 2⁰ to congenital aqueductal stenosis.


Please can people with medical experience interpret this report for me.

Which part exactly do you not understand?

Free2Fly:


Which part exactly do you not understand?

The word 'unremarkable' is used severally in the report. I need to know what that remark means from the medical stand-point.

A lot of positive findings were noted. Does it mean that this case is far from bad?

omakay:


The word 'unremarkable' is used severally in the report. I need to know what that remark means from the medical stand-point.

A lot of positive findings were noted. Does it mean that this case is far from bad?

Ok. The Radiologist was actually looking for something wrong(remarkable),and where the structure appeared normal, it would be described as "unremarkable" or "uneventful".
So, unremarkable structures are those that are radiologically normal. He has nothing bad to say about them.

As for the findings generally, there's a congenital blockade in the pathway for the circulation and eventual drainage of the cerebrospinal fluid(CSF) within the brain cavity.
That blockade leads to the accumulation of the CSF(let's just call it water literally) in the cavity.

This "water" is produced within the brain cavity and it communicates with the one within the spinal cord cavity as well as circulates within the other spaces in the head, before eventually entering into the veins and back to the heart.

That blockade has prevented the circulation and drainage, resulting in the enlargement of the spaces where the "water" accumulates and thus compressing the brain matter.

The result is a big head containing more "water" than brain matter.
So, she's obviously going to have some deficits and delayed developmental milestones.

To drain the accumulated "water", she's going to have a surgical procedure where a drainage tube will be connected from that enlarged cavity within the brain and tunneled to her abdominal cavity.

That's the commonest procedure for it in Nigeria.
After the drainage, the already compressed brain matter may or may not completely recover.
So, there may likely be some mental and motor deficits.

Free2Fly:


Ok. The Radiologist was actually looking for something wrong(remarkable),and where the structure appeared normal, it would be described as "unremarkable" or "uneventful".
So, unremarkable structures are those that are radiologically normal. He has nothing bad to say about them.

As for the findings generally, there's a congenital blockade in the pathway for the circulation and eventual drainage of the cerebrospinal fluid(CSF) within the brain cavity.
That blockade leads to the accumulation of the CSF(let's just call it water literally) in the cavity.

This "water" is produced within the brain cavity and it communicates with the one within the spinal cord cavity as well as circulates within the other spaces in the head, before eventually entering into the veins and back to the heart.

That blockade has prevented the circulation and drainage, resulting in the enlargement of the spaces where the "water" accumulates and thus compressing the brain matter.

The result is a big head containing more "water" than brain matter.
So, she's obviously going to have some deficits and delayed developmental milestones.

To drain the accumulated "water", she's going to have a surgical procedure where a drainage tube will be connected from that enlarged cavity within the brain and tunneled to her abdominal cavity.

That's the commonest procedure for it in Nigeria.
After the drainage, the already compressed brain matter may or may not completely recover.
So, there may likely be some mental and motor deficits.

Am so grateful for your reply. The baby in question is already 1yr and 6months. He does everything a normal baby will do except that he not turned from his back in an attempt to crawl on his belly or even sit. But he is able to turn his head to whichever direction he pleases. His motor skills are very slow just as you have stated in your report. We manually have to place him to seat in a stroller. His hands and legs are functioning( he even gets to kick you with his legs if you sit close to him) but he refuses to set them on the floor to walk. He also has the fear factor where everything scares him. Each times we try to set him down to stand, he curls his legs upward in fear. My thing with the surgery is that even if it is done, the skull will not grow small and the brain too might not bring itself up to speed. Thanks once again for your reply. I am very grateful.

Free2Fly:


Ok. The Radiologist was actually looking for something wrong(remarkable),and where the structure appeared normal, it would be described as "unremarkable" or "uneventful".
So, unremarkable structures are those that are radiologically normal. He has nothing bad to say about them.

As for the findings generally, there's a congenital blockade in the pathway for the circulation and eventual drainage of the cerebrospinal fluid(CSF) within the brain cavity.
That blockade leads to the accumulation of the CSF(let's just call it water literally) in the cavity.

This "water" is produced within the brain cavity and it communicates with the one within the spinal cord cavity as well as circulates within the other spaces in the head, before eventually entering into the veins and back to the heart.

That blockade has prevented the circulation and drainage, resulting in the enlargement of the spaces where the "water" accumulates and thus compressing the brain matter.

The result is a big head containing more "water" than brain matter.
So, she's obviously going to have some deficits and delayed developmental milestones.

To drain the accumulated "water", she's going to have a surgical procedure where a drainage tube will be connected from that enlarged cavity within the brain and tunneled to her abdominal cavity.

That's the commonest procedure for it in Nigeria.
After the drainage, the already compressed brain matter may or may not completely recover.
So, there may likely be some mental and motor deficits.

At this stage the care givers need to 'up their game.' Treatment needs an upgrade. At the end of the tunnel there can be light.

Hyperbaric oxygen therapy -hbot can pick up the challenge where they have stopped. It is pure medical science procedure by physicians that needs to be explored. No surgery but just high pressure oxygen effect that needs to be explored. There are tons of benefits for the child. HBOT is the missing link. Take positive actions and don't lose hope.

Ask your questions.

HBOT PROVIDERS.