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Fetal central nervous system abnormalities.

B A Spirt1, M Oliphant, L P Gordon

  • 1State University of New York Health Science Center, Syracuse.

Radiologic Clinics of North America
|January 1, 1990
PubMed
Summary
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Detailed fetal central nervous system (CNS) ultrasound is now standard. This study presents a logical approach to diagnosing CNS abnormalities, classifying them into hydrocephalus, mimics, and neural tube defects for better prenatal diagnosis.

Area of Science:

  • Medical Imaging
  • Neurology
  • Obstetrics

Background:

  • Advances in fetal sonography enable routine detailed examination of the fetal central nervous system (CNS).
  • Understanding normal sonographic anatomy and CNS pathology is crucial for diagnosing abnormalities.
  • Prenatal diagnosis of CNS abnormalities relies on advanced ultrasound techniques.

Purpose of the Study:

  • To present a logical sonographic approach for diagnosing fetal CNS abnormalities.
  • To classify CNS abnormalities based on ultrasound findings.
  • To aid in developing differential diagnoses for suspected fetal CNS conditions.

Main Methods:

  • Developing a sonographic approach based on normal fetal CNS anatomy.
  • Classifying identified CNS abnormalities into distinct categories.

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  • Utilizing ultrasound findings to inform differential diagnoses.

    • Main Results:

    • A classification system for fetal CNS abnormalities was established.
    • The main categories identified are hydrocephalus, entities mimicking hydrocephalus, and neural tube defects.
    • The approach facilitates the development of a differential diagnosis.

    Conclusions:

    • A structured sonographic approach aids in the accurate diagnosis of fetal CNS abnormalities.
    • Classification into hydrocephalus, mimics, and neural tube defects is effective.
    • This method supports comprehensive prenatal evaluation and diagnosis.