Hydrocephalus is not the lone deciding factor for ascertaining brain viability. Image below is an example. Note no enlarged ventricles, although they have fresh blood shown on this one slice. Entrance wound right occiput, bone and metal fragments thruout both lobes, exit wound thru left frontal bone. (images are interpeted as if the patient is facing you) This type of penetrating wound are usually assigned to second year neurosurgery residents for 'practice' in the O.R. Survivability is zero. Yet, as shown, there is no hydrocephalus. It takes a team--neurosurgery, neurology, diagnostic radiology, to perform a battery of exams to find a diagnosis and impending outcome for the patient.
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