Neonatal outcome of congenital ventriculomegaly

Liz McKechnie1, Chakra Vasudevan, Malcolm Levene

  • 1Department of Neonatal Medicine, Leeds General Infirmary, Leeds, UK. Liz.McKechnie@leedsth.nhs.uk

Insights

Ventriculomegaly, or enlarged cerebral ventricles, affects 1-2 in 1000 births. This review focuses on counseling parents regarding diagnosis, management, and prognosis, especially for isolated cases.

Area of Science:

  • Neurology
  • Obstetrics
  • Pediatrics

Background:

  • Ventriculomegaly occurs in 1-2 per 1000 live births.
  • Diagnosis is often antenatal, requiring perinatologists to counsel parents.
  • Counseling is particularly challenging for isolated ventriculomegaly.

Purpose of the Study:

  • To review the diagnosis of ventriculomegaly.
  • To discuss the management strategies for ventriculomegaly.
  • To outline the prognosis of ventriculomegaly, with emphasis on isolated cases.

Main Methods:

  • Literature review of ventriculomegaly diagnosis and management.
  • Analysis of outcomes for isolated ventriculomegaly.
  • Synthesis of current knowledge for antenatal counseling.

Main Results:

  • Ventriculomegaly diagnosis is frequently made during pregnancy.
  • Management and prognosis vary depending on the cause and severity.
  • Isolated ventriculomegaly presents unique counseling challenges due to uncertain outcomes.

Conclusions:

  • Accurate antenatal diagnosis and counseling are crucial for parents facing ventriculomegaly.
  • Understanding the prognosis, especially for isolated cases, aids in informed decision-making.
  • Further research may improve prediction and management of ventriculomegaly outcomes.

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