PNR Head 19
History
Unknown age, meningitis
Major Findings
- Bilateral intraventricular debris, suggestive of ventriculitis
- Mild hydrocephalus
- Bilateral deep cerebral infarctions
Teaching Points
Intraventricular debris will layer dependently, usually in the posterior horns. Also look for periventricular edema as a sign of ventriculitis.
In the setting of meningitis, these deep parenchymal infarctions could be due to infectious angiitis or vasospasm.
A pertinent negative in this case is that there is no venous sinus thrombosis.
Accession: CL0638
Study description: CTA HEAD
