Talk to Neuro Physician on Mild Verticularmegaly

Dr. Hikmatullah - Neurologist

MBBS, FCPS Neurology, MCPS Medicine | Dera Ismail Khan

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The imaging findings you described indicate asymmetrical dilatation of the bilateral lateral ventricles, with a significant predominance of dilatation in the occipital horns. The measurements taken suggest that one side (likely the left) has a markedly larger occipital horn at 34 mm, while the other side measures only 18 mm. This significant difference in size points to potential pathology affecting the surrounding brain tissue.

The mention of "lost brain parenchyma" in the unilateral posterior parietal and occipital lobe suggests the presence of atrophy or loss of brain tissue in those areas. This could be due to various causes such as a prior ischemic event, developmental anomalies, or chronic pressure from a mass lesion.

The frontal horn measurements (11 mm and 10 mm) indicate that they are relatively symmetrical and within normal limits, while the 3rd and 4th ventricles appear normal, which is a reassuring sign in this context.

These findings may suggest several possible clinical scenarios, including:

1. **Hydrocephalus** (possibly communicating or non-communicating) with associated brain atrophy.
2. **Cerebral atrophy** due to chronic neurodegenerative processes, history of trauma, or vascular insults.
3. **Mass effect** from a tumor or lesion that could affect the surrounding brain structures and lead to ventricular enlargement.

It is crucial to correlate these imaging findings with the patient's clinical history, neurological examination, and possibly further diagnostic workup to determine the underlying cause and direct appropriate management. Consider consulting a neurologist or neurosurgeon for further evaluation if there are associated clinical symptoms.