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Updated: May 26, 2026

Murine Fetal Echocardiography
Published on: February 15, 2013
Cerebral ventricular system in fetuses with open spina bifida at 11-13 weeks' gestation
T Loureiro1, F Ushakov, N Montenegro
1Department of Obstetrics and Gynecology, S. João Hospital, Medical School, University of Porto, Porto, Portugal. tereloureiro@yahoo.com.br
Insights
Early detection of open spina bifida in fetuses shows reduced cerebrospinal fluid. This finding at 11-13 weeks gestation impacts understanding of fetal brain development.
Area of Science:
- Fetal Medicine
- Neurodevelopmental Pediatrics
- Prenatal Imaging
Background:
- Open spina bifida is a severe congenital neural tube defect.
- Early detection of fetal anomalies is crucial for management.
- The cerebral ventricular system's development in early gestation is not fully understood in spina bifida.
Purpose of the Study:
- To investigate alterations in the fetal cerebral ventricular system.
- To assess these changes in fetuses with open spina bifida at 11-13 weeks' gestation.
Main Methods:
- Transvaginal sonography and 3D brain volume acquisition were used.
- Measurements of lateral ventricles, third ventricle roof, aqueduct of Sylvius, and fourth ventricle were obtained.
- Comparison of measurements between 10 fetuses with open spina bifida and 410 normal fetuses.
Main Results:
- In normal fetuses, ventricular dimensions changed with gestational age.
- Fetuses with open spina bifida showed significantly decreased measurements in all assessed ventricular areas.
- These differences were statistically significant (P < 0.01).
Conclusions:
- Fetuses with open spina bifida exhibit a substantial reduction in intracranial cerebrospinal fluid.
- This reduction is detectable as early as 11-13 weeks' gestation.
- Findings suggest early disruption of cerebrospinal fluid dynamics in fetal spina bifida.
Objective:
To determine if in fetuses with open spina bifida at 11-13 weeks' gestation there are alterations in the cerebral ventricular system.
Methods:
In this study we selected 10 cases of open spina bifida and 410 normal singleton pregnancies which subsequently resulted in the delivery of phenotypically normal neonates. In all cases transvaginal sonography was carried out at 11-13 weeks' gestation and three-dimensional (3D) brain volumes were acquired. The fetal head was systematically assessed in a series of transverse views and measurements were obtained of the area of the lateral ventricles, the diameter of the roof of the third ventricle, the diameter of the aqueduct of Sylvius and the diameter of the fourth ventricle. The measurements obtained on the normal and affected fetuses were compared.
Results:
In normal fetuses the area of the lateral ventricles and the diameter of the roof of the third ventricle increased, the diameter of the aqueduct of Sylvius decreased and the diameter of the fourth ventricle did not change significantly with biparietal diameter (BPD). In fetuses with open spina bifida, compared with normal fetuses, the measurements of the lateral ventricle area, the diameter of the roof of the third ventricle, the diameter of the aqueduct of Sylvius and the diameter of the fourth ventricle were significantly decreased (P < 0.01).
Conclusion:
In fetuses with open spina bifida at 11-13 weeks' gestation the intracranial collection of cerebrospinal fluid is substantially reduced.
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