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"AQUEDUCTAL STENOSIS"

“ Congenital or acquired (e.g. tumour). Aqueductal stenosis is the most common cause of congenital hydrocephalus . MRI •   Hydrocephalus (m...

Congenital or acquired (e.g. tumour). Aqueductal stenosis is the most common cause of congenital hydrocephalus.
MRI

•  Hydrocephalus (may be extreme)—very dilated third ventricle with normal fourth ventricle.
•  The corpus callosum appears stretched and thinned.
•  The aqueduct has a funnel shape on a midline sagittal slice.
•  Expect a normal posterior fossa (distinguishes from e.g. Chiari and Dandy-Walker malformations).
•  The choroid plexus may be seen suspended in the ventricle (‘dangling choroid sign’).