Neurosurgery notes/CSF/Hydrocephalus (HCP)/Extraventricular obstructive HCP

Extraventricular obstructive HCP

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  • Impaired passage/absorption distal to 4th ventricle outlets
  • Due to
    • SAH
    • Meningitis
    • Leptomeningeal carcinomatosis
  • All ventricles enlarged
  • No intraventricular obstruction
  • Variable degree of ventricular widening and of interstitial oedema
  • Reduced dampening of the systolic pressure wave
  • Look for
    • Changes (enhancement/haemosiderin) in
      • Meninges
      • CSF
    • Septation on CISS/FIESTA sq