Would you attempt a brain MRI in patients who present to the ER with subacute presentation of obstructive hydrocephalus?

Given the risk of elevated ICP, would you attempt a brain MRI to further characterize the lesion? Or would CT imaging suffice prior to intervention?

Answer from: at Academic Institution

I think an MRI is warranted to characterize the cause of the hydrocephalus in almost all cases, especially in the setting of a mass. The MRI can help identify the nature of the mass and the absolute size, and help with the differential diagnosis. It will also help you identify the mass as a solitary...

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at First Choice Neurology
Agree. Contrast adds critical information.

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Would you attempt a brain MRI in patients who present to the ER with subacute presentation of obstructive hydrocephalus?

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