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Fetal intracranial structures: differences in size according to sex
Ebru Celik Kavak1, Salih Burcin Kavak1, Cengiz Sanli1
1Department of Obstetrics and Gynecology, Firat University, School of Medicine, Elazig, Turkey.
Journal of Perinatal Medicine
|February 14, 2021
Summary
Gender differences in fetal brain development are evident by 20-22 weeks gestation. Male fetuses show larger cavum septum pellucidum width and lateral ventricle horns compared to females.
Area of Science:
- Neuroscience
- Developmental Biology
- Fetal Medicine
Background:
- Prenatal brain development exhibits complex patterns.
- Understanding sex-based variations in fetal neuroanatomy is crucial for accurate assessments.
Purpose of the Study:
- To investigate and compare the dimensions of specific fetal brain structures between male and female fetuses.
- To identify potential early markers of sex-dimorphic brain development.
Main Methods:
- Transabdominal ultrasound measurements of intracranial structures in 600 fetuses (20-22 weeks gestation).
- Key measurements included biparietal diameter, head circumference, and lateral ventricle dimensions.
- Statistical analysis using Kolmogorov-Smirnov and independent samples t-test (p<0.05 significance).
Main Results:
- Statistically significant differences in brain structure sizes were observed between genders.
- Male fetuses exhibited a larger cavum septum pellucidum width (3.85±0.96 mm vs. 3.38±0.61 mm, p<0.05).
- Male fetuses also had significantly larger anterior (1.92±0.30 mm vs. 1.58±0.26 mm, p<0.0001) and posterior horns of the lateral ventricles (6.00±0.87 mm vs. 5.53±1.17 mm, p<0.05).
Conclusions:
- Sex-based differences in fetal brain structure dimensions emerge during mid-gestation.
- These findings aid in precise evaluation of intracranial structures and understanding sex-related physiological and pathological variations.
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