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[Clinical study on fetal encephalic fluid].

Jing He1, Shu-Ping Cai, Hong Lu

  • 1Department of Obstetrics, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China.

Zhonghua Fu Chan Ke Za Zhi
|April 20, 2007
PubMed
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Prenatal ultrasonography detected fetal encephalic accumulated fluid in 1.8% of cases. Increased fluid volume and distribution sites correlate with a higher incidence of fetal defects, necessitating careful monitoring.

Area of Science:

  • Obstetrics and Gynecology
  • Fetal Medicine
  • Diagnostic Imaging

Background:

  • Prenatal diagnosis of fetal anomalies is crucial for effective management.
  • Fetal encephalic accumulated fluid is a sonographic finding requiring careful evaluation.

Purpose of the Study:

  • To assess the clinical significance of fetal encephalic accumulated fluid detected via prenatal ultrasonography.
  • To correlate fluid accumulation characteristics with fetal outcomes.

Main Methods:

  • Prenatal ultrasonography performed on 8426 women.
  • 150 cases with fetal encephalic accumulated fluid (>5 mm) were analyzed.
  • Regular monitoring of fluid changes and associated anomalies until delivery, with postnatal follow-up.

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Main Results:

  • Incidence of fetal encephalic fluid was 1.8%.
  • Fluid accumulation peaked between 29-32 weeks gestation.
  • Spontaneous regression occurred in 74% of cases.
  • Incidence of defects increased with fluid volume (>15 mm) and distribution sites (>2 sites).

Conclusions:

  • Fetal encephalic accumulated fluid is typically diagnosed between 29-32 weeks.
  • Greater fluid volume and wider distribution are associated with increased risk of fetal defects.
  • Careful anomaly assessment is critical for fluid >15 mm or in >2 sites.