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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.
Abstract:
Enlargement of the cerebral ventricles (ventriculomegaly) occurs in 1-2 per 1000 live births. Ventriculomegaly is frequently diagnosed antenatally and hence the perinatologist is faced with counselling the prospective parents. This review considers the diagnosis, management and prognosis of this condition. A particular emphasis is placed on the outcome of isolated ventriculomegaly as these are commonly the most difficult to counsel antenatally.
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