PMC9924619_01
Axial brain CT showing interval enlargement of the ventricular system concerning for normal pressure hydrocephalus. Evans index 0.33.
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Laboratory results were significant for sodium of 125 mEq/L and CT of brain without contrast (Fig. 1) was suggestive of interval enlargement of ventricular system concerning for normal pressure hydrocephalus.
Coronal brain MRI with contrast showing ventricular system dilatation with mild transependymal edema consistent with hydrocephalus. Callosal angle of 68 .
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This was followed by MRI brain with contrast (Figs. 2 and 3) revealing new ventricular system dilatation with mild transependymal edema consistent with hydrocephalus with pachymeningeal enhancement.
T2 FLAIR axial brain MRI showing ventricular system dilatation with pachymeningeal enhancement, and no evidence of PRES.
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This was followed by MRI brain with contrast (Figs. 2 and 3) revealing new ventricular system dilatation with mild transependymal edema consistent with hydrocephalus with pachymeningeal enhancement.