Benign enlargement of subarachnoid spaces in infancy (BESS)

Case contributed by Safwat Mohammad Almoghazy , 3 Mar 2021
Diagnosis almost certain
Changed by Mostafa Elfeky, 8 Mar 2021

Updates to Case Attributes

Title was changed:
Benign enlargement of subarachnoid spaces in infancy (BESS).
Status changed from pending review to published (public).
Published At was set to .
Body was changed:

An incidentally discovered benign enlargement of the subarachnoid space in infancy (BESS) (BESS ). It's a benign self-limited condition, most were seen in infants. It is characterized by macrocephaly and enlargement of subarachnoid space with normal or mildly dilated ventricles. 

  • -<p>An incidentally discovered  <a title="Benign enlargement of the subarachnoid space in infancy" href="/articles/benign-enlargement-of-the-subarachnoid-space-in-infancy">Benign enlargement of the subarachnoid space in infancy</a> (BESS ). It's a benign self-limited condition, most were seen in infants. It is characterized by macrocephaly and enlargement of subarachnoid space with normal or mildly dilated ventricles. </p>
  • +<p>An incidentally discovered <a href="/articles/benign-enlargement-of-the-subarachnoid-space-in-infancy">benign enlargement of the subarachnoid space in infancy (BESS)</a>. It's a benign self-limited condition, most were seen in infants. It is characterized by <a title="Macrocephaly" href="/articles/macrocephaly">macrocephaly</a> and enlargement of subarachnoid space with normal or mildly dilated ventricles. </p>

References changed:

  • 1. Sverre Morten Zahl, Arild Egge, Eirik Helseth, Knut Wester. Benign external hydrocephalus: a review, with emphasis on management. (2011) Neurosurgical Review. 34 (4): 417. <a href="https://doi.org/10.1007/s10143-011-0327-4">doi:10.1007/s10143-011-0327-4</a> <span class="ref_v4"></span>
  • 2. Khosroshahi N, Nikkhah A. Benign Enlargement of Subarachnoid Space in Infancy: "A Review with Emphasis on Diagnostic Work-Up". (2018) Iranian journal of child neurology. 12 (4): 7-15. <a href="https://www.ncbi.nlm.nih.gov/pubmed/30279704">Pubmed</a> <span class="ref_v4"></span>
  • Sverre Morten Zahl, Arild Egge, Eirik Helseth, Knut Wester. Benign external hydrocephalus: a review, with emphasis on management. (2011) Neurosurgical Review. 34 (4): 417. <a href="https://doi.org/10.1007/s10143-011-0327-4">doi:10.1007/s10143-011-0327-4</a> <span class="ref_v4"></span>
  • Khosroshahi N, Nikkhah A. Benign Enlargement of Subarachnoid Space in Infancy: "A Review with Emphasis on Diagnostic Work-Up". (2018) Iranian journal of child neurology. 12 (4): 7-15. <a href="https://www.ncbi.nlm.nih.gov/pubmed/30279704">Pubmed</a> <span class="ref_v4"></span>

Systems changed:

  • Paediatrics

Updates to Link Attributes

Title was removed:
Benign enlargement of subarachnoid spaces in infancy (BESS).
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Caption was added:
Brain
Findings was changed:

There are prominentsubarachnoid spaces were noted in bilateral frontal and temporal lobes (more on the frontal lobes) with prominent Sylvian fissures. Widening of the interhemispheric sulcus and bridging veins along with CSF spaces were noted in the bilateral frontal regions. There was no displacement of the veins away from the calvarium. 

Bilateral lateral ventricles appeared slightly prominent with no periventricular hypodensity. The brain parenchyma shows no obvious abnormal attenuation values. 

conclusion Conclusion:

The findings are suggestive of benign enlargement of the subarachnoid space in infancy(BESS ) and no need for further urgent imaging management.

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