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Fetal Ventriculomegaly and Hydrocephalus - What Shouldn't be Missed on Imaging?

Liat Ben Sira1, Danil A Kozyrev2, Dafna Ben Bashat3

  • 1Division of Pediatric Radiology, Tel Aviv Sourasky Medical Center; Sackler Faculty of Medicine; Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.

Neurology India
|February 1, 2022
PubMed

Insights

Fetal ventriculomegaly, a common prenatal diagnosis, requires identifying subtle abnormalities for accurate prognoses. This review explores fetal MRI patterns to predict clinical course and treatment effectiveness for fetal hydrocephalus.

Area of Science:

  • Radiology
  • Prenatal Diagnosis
  • Neuroimaging

Background:

  • Fetal ventriculomegaly is a frequent prenatal diagnosis.
  • Subtle anomalies accompanying ventriculomegaly aid in prognosis, ranging from normal outcomes to neurodevelopmental issues.
  • Accurate prognostication is crucial for managing potential long-term effects.

Purpose of the Study:

  • To review the pathogenesis and imaging patterns of fetal ventriculomegaly and hydrocephalus.
  • To highlight the utility of a pattern-recognition approach using fetal Magnetic Resonance Imaging (MRI).
  • To explore how radiological findings can inform clinical course prediction and therapeutic efficacy.

Main Methods:

  • Review of existing literature on fetal ventriculomegaly and hydrocephalus.
  • Focus on pattern recognition using fetal MRI data.
  • Analysis of imaging findings correlated with clinical outcomes.

Main Results:

  • Fetal MRI provides detailed insights into the pathogenesis of ventriculomegaly and hydrocephalus.
  • Pattern recognition on MRI aids in differentiating causes and predicting severity.
  • Identification of subtle associated anomalies is key for accurate prognostication.

Conclusions:

  • Fetal MRI is a valuable tool for diagnosing and characterizing fetal ventriculomegaly and hydrocephalus.
  • A pattern-recognition approach using fetal MRI can improve prognostication.
  • This radiological approach may enhance the prediction of clinical course and guide therapeutic strategies for fetal hydrocephalus.

Keywords:
Congenital hydrocephalusMRIfetal MRIhydrocephalusventriculomegaly

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