Sylvian Aqueductal Web/ Diaphragm-A Case Report and Short Review of Imaging Techniques | Biomedgrid

Aqueductal Web/Diaphragm (AW/D) causing Aqueductal stenosis is a known but uncommon entity [1]. Appropriate diagnosis helps in prompt and adequate patient care. We present a case report of a 48 YOF who was evaluated for acute mental status changes with severe headaches. Regular CT images demonstrated obstructive hydrocephalus at the level of the Sylvian aqueduct. When an additional 10 minutes was spent on post processing using CT 3D Multiple Plane Reconstruction (MPR) function on a McKesson PACS radiology station, it showed an AW/D as the cause of obstructive hydrocephalus. As the patient was confused and couldn't hold still, conventional MRI with 3D CISS se-quince contained motion artifact, but still confirmed the finding.