Volume 25, Issue 6 pp. 1038-1043
Case Report

Pontine Tegmental Cap Dysplasia: MR Evaluation of Vestibulocochlear Neuropathy

Dalveer Singh

Corresponding Author

Dalveer Singh

Department of Medical Imaging, The Townsville Hospital, Douglas, Queensland, Australia

Correspondence: Address correspondence to Dalveer Singh, BMedSci MBBS, Department of Medical Imaging, The Townsville Hospital, Douglas, Queensland, Australia 4814. E-mail: [email protected].Search for more papers by this author
Charlie Chia-Tsong Hsu

Charlie Chia-Tsong Hsu

Department of Medical Imaging, The Townsville Hospital, Douglas, Queensland, Australia

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Gigi Nga Chi Kwan

Gigi Nga Chi Kwan

Department of Medical Imaging, The Townsville Hospital, Douglas, Queensland, Australia

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Ipeson Korah

Ipeson Korah

Department of Medical Imaging, The Townsville Hospital, Douglas, Queensland, Australia

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First published: 17 February 2015
Citations: 12

Conflict of Interest: None of the above authors report any potential conflicts of interests and no financial support for this work has been received.

ABSTRACT

Pontine tegmental cap dysplasia (PTCD) is recently recognized as a rare congenital brain stem malformation with typical neuroimaging hallmarks of ventral pontine hypoplasia and vaulted pontine tegmentum projecting into the fourth ventricle. PTCD patients also demonstrate variable cranial neuropathy with predilection for involvement of the vestibulocochlear and facial nerves. We present a case of PTCD diagnosed on MRI in the neonatal period. During early infancy, the patient displayed features of multiple cranial neuropathies and bilateral hearing loss. At the age of 2, the patient underwent further MRI assessment with dedicated high resolution T2 SPACE sequence to delineate the cranial nerve deficiencies.

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