Role of MR CSF flowmetry in post ETV assessment in pediatric age group | ||||
Al-Azhar International Medical Journal | ||||
Volume 2025, Issue 3, March 2025, Page 71-75 PDF (344.09 K) | ||||
Document Type: Original Article | ||||
![]() | ||||
Authors | ||||
Fadila Mamdouh Elsayed* 1; Hanan Eid Abd El-Razik1; Usama Mohamed El Shokhaiby2 | ||||
1Department of Diagnostic and Interventional Radiology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt. | ||||
2Department of NeuroSurgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt. | ||||
Abstract | ||||
Abstract Background: The qualitative and quantitative assessment of cerebrospinal fluid flow abnormalities in certain neurological diseases can be achieved through the utilization of phase contrast MRI cerebrospinal fluid (CSF) flowmetry. Aim of work: The objective of this investigation is to detect the role of MRI CSF flowmetry in post-endoscopic third ventriculocisternostomy (ETV) assessment in the pediatric age group. Patients and methods: This prospective investigation was conducted from October 2022 to April 2024. A total of sixteen cases participated in this investigation. They were referred from the pediatric department to the MRI department at Al Zahraa University Hospitals. The MRI 1.5 Tesla (Philips Ingenia) machine (closed magnet) has been utilized to conduct all MRI examinations on all included individuals, with a standard head coil. The cases were categorized into the following subgroups depending on a conventional clinical MRI, as follows: Two cases underwent ETV for communicating hydrocephalus, while fourteen cases underwent ETV for non-communicating hydrocephalus caused by aqueductal stenosis. Results: The patients who had ETV are 16 patients, 12 patients have jet of CSF flow through ventriculostomy and 4 patients have inadequate CSF flow through the stoma that can be detected by PC-MRI. Conventional MRI had sensitivity of 0% and specificity of 100% for the recognition of ETV. Conclusion: We suggest utilizing phase-contrast MR images in all patients who have ETV, as it can detect its function, that is the gold stander role of our recommended technique. | ||||
Keywords | ||||
Phase contrast MRI; Hydrocephalus; CSF flowmetry; Aqueductal stenosis | ||||
Statistics Article View: 1 |
||||