Case Notes
History
40 yo male with prior traumatic brain hematoma 2 year earlier. Now has increasing severe headache, imbalance and blurred visionExam
MR sagittal plane
Prior Study
T1-w spin-echo axial and coronal T2-w MR1. Chronic post traumatic brain injury with mild global atrophy and ex vacuo grade 1.4/4 ventriculomegaly limited to the lateral ventricles.
2. There is evidence of early downward central incisural herniation, and advanced downward cerebellar tonsillar herniation.