Management of Apparently Isolated Fetal Ventriculomegaly

Gupta, Janesh; Bryce, Fiona C.; Lilford, Richard

doi:10.1097/00006254-199410000-00027

Cited by 68 publications

(18 citation statements)

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“…In a series of 279 cases with isolated ventriculomegaly, 175 (63%) survived; after shunting procedure 111 (63%) were normal, the remainder having a mild to severe neurological handicap. The survival rate in the 81 cases with additional anomalies was 23.5% (19 cases) and only three (15%) of the survivors were normal, thus confirming the importance of the role played by the associated abnormalities [16].…”

Section: Recognizing the Cause Of Fetal Ventriculomegalymentioning

confidence: 80%

Sonographic diagnosis of fetal cerebral ventriculomegaly: An update

D’Addario

Pinto

Cagno

et al. 2007

The Journal of Maternal-Fetal & Neonatal Medicine

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Dilatation of the fetal cerebral ventricles (ventriculomegaly) is a generic sonographic sign that is common to several pathological entities carrying different prognoses. The main causes of fetal ventriculomegaly are aqueductal stenosis, Chiari II malformation, Dandy-Walker complex, and agenesis of the corpus callosum. Ventriculomegaly is easily recognized by ultrasound by measuring the atrial width. This simple measure allows the recognition of mild forms of ventricular dilatation and is used in screening for ventriculomegaly. However, although the diagnosis of ventriculomegaly is easy, the prenatal identification of the cause of ventricular dilatation is a more difficult task. For this purpose the evaluation of the posterior fossa in association with the visualization of the corpus callosum is useful. Research into the causes of ventriculomegaly is clinically useful, since the prognosis mainly depends on the etiology and on the presence of associated abnormalities. In this article the role of prenatal sonography in determining the cause of the ventriculomegaly is reviewed, as well as the prognostic value of the prenatal sonographic findings.

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Section: Recognizing the Cause Of Fetal Ventriculomegalymentioning

confidence: 80%

Sonographic diagnosis of fetal cerebral ventriculomegaly: An update

D’Addario

Pinto

Cagno

et al. 2007

The Journal of Maternal-Fetal & Neonatal Medicine

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“…Of those that were alive, neurodevelopmental outcome was normal in 93% of mild cases, 75% of moderate, and 62.5% of severe VM cases. An earlier study by Gupta et al 15 described 276 cases of apparent isolated VM, all of whom were delivered. They found a 70% survival rate, and 59% of the survivors were developmentally normal.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study of Fetuses with Isolated Ventriculomegaly Investigated by Antenatal Sonography and In Utero MR Imaging

Griffiths¹,

Reeves²,

Morris³

et al. 2009

AJNR Am J Neuroradiol

133

117

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BACKGROUND AND PURPOSE:Fetal ventriculomegaly (VM) is important because of its high prevalence and high risk of association with other brain abnormalities. The purpose of this article was to investigate the hypotheses that including in utero MR imaging (iuMR) in the diagnostic pathway for fetuses with isolated VM on antenatal imaging will show other brain abnormalities in a high proportion of cases and that these will have a significant effect on clinical management.

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“…O prognóstico também é ruim quando existe progressão rápida da ventriculomegalia, mesmo que seja unilateral 10 . Para outros pesquisadores o principal fator a degradar o resultado perinatal é a presença de outras anomalias associadas, intra ou extracranianas 11,12 . Os elementos mais favoráveis, no que se refere ao prognóstico das ventriculomegalias, são: caráter isolado da hidrocefalia ou sua associação unicamente com agenesia do corpo caloso, aparecimento tardio (3 o trimestre), evolução lenta (com circunferência cefálica próxima do normal), relação ventrículo lateral e hemisfério cerebral atingindo no máximo 50% a mais do valor normal e ausência de alongamento ântero-posterior do pólo cefálico (dolicocefalia) 1 .…”

Section: Introductionunclassified