Question
How should bilateral forebrow spaces and lateral sulci be addressed?
Answer
Bilateral enlargement of the frontal interspaces, lateral sulci, frontal sulci, and suprasellar cisterns, with the most significant enlargement in the bilateral sulci, reaching a maximum width of 1.4cm, corresponding to a ‘petal-like’ change in the brain, with no fading of brain gyri and uniform density of brain parenchyma, no obvious abnormalities such as mass lesions or other abnormal lesions, with clear semi-transparent ventricular spaces. The shapes, sizes, and positions of the third and fourth ventricles are normal, and there are no obvious abnormalities in other cerebral fissures and sulci. The midline structures are to the left, and there is no significant abnormality in the skull. There was intracranial hemorrhage at birth, with correction at three months of age. Past treatment history and effects: There was treatment with neurotropic agents. What help do you want: I would like to consult on what kind of treatment is needed for this condition. The neurosurgery diagnosis is infantile hydrocephalus. Given your description, the condition appears to be relatively mild. This may be related to intracranial hemorrhage after birth. Infantile hydrocephalus often improves as the child’s brain tissue grows and develops, and most cases can normalize by age two. The key now is to monitor whether there are differences in the child’s behavior, language, and reflexes compared to children of the same age. If there are differences, medication and rehabilitation therapy may be required.