Hydrocephalus. Ataxia. There is persistent dilatation of the third and fourth ventricles. There is also downward displacement of the hypothalamus. However, there is patency of the foramina of Monro, sylvian aqueduct and the fourth ventricular outflow. In fact, there appears to be hyperdynamic flow across the sylvian aqueduct, with a prominent cerebrospinal fluid flow jet into the third ventricle. There is multilevel degenerative cervical spondylosis, with mild spinal canal stenosis at C5-C6.
1. Hyperdynamic cerebrospinal fluid flow through the sylvian aqueduct and disproportionate dilatation of the third and lateral ventricles is compatible with the previously suggested diagnosis of normal pressure hydrocephalus. Please refer to the prior brain MRI report for additional details.2. Multilevel degenerative cervical spondylosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.