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Radiology, Vol 130, 661-666, Copyright © 1979 by Radiological Society of North America

ARTICLES

Computed tomography profiles of periventricular hypodensity in hydrocephalus and leukoencephalopathy

G Di Chiro, T Arimitsu, RA Brooks, DG Morgenthaler, GS Johnston, AE Jones and MR Keller

Profiles of hypodense periventricular white matter, drawn from the interior of the frontal horns through the surrounding white matter to the peripheral gray matter, were analyzed in 65 patients. Abnormal curves were grouped into four patterns: linear, double-slope, plateau, and bimodal. The first two, found primarily in hydrocephalic patients, appear to be due to transependymal passage of cerebrospinal fluid (CSF). The linear pattern was found more frequently in acute cases and indicates breakdown of the ventricular wall as a barrier. The double- slope pattern probably indicates a persistent or restored barrier effect at the wall, with residual CSF infiltration of the parenchyma. Most of the other patients' curves showed either a plateau pattern or (especially in primary leukoencephalopathy) a bimodal ("bumpy") pattern which is believed to correspond to the nonuniform nature of the pathological process.


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 Am. J. Neuroradiol.Home page
M. Tullberg, C. Jensen, S. Ekholm, and C. Wikkelso
Normal Pressure Hydrocephalus: Vascular White Matter Changes on MR Images Must Not Exclude Patients from Shunt Surgery
AJNR Am. J. Neuroradiol., October 1, 2001; 22(9): 1665 - 1673.
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