Accredited Case Practice Set

Hemorrhage 08

55 yo male with prior head CT revealing multiple calcific cystic lesion and normal ventricular size for chronological age. There had been a previous suboccipital craniotomy with partial removal of a lower pontomedullary cyst. Five months later the patient developed increasing headaches and CT evidence of internal obstructive hydrocephalus. The patient underwent a right VP shunt and midline suboccipital craniotomy for drainage of a sizable pontine cavernous malformation. CT and MR

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