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Related Experiment Videos

Complexities of intraventricular abnormalities.

B R Pober, M F Greene, L B Holmes

    The Journal of Pediatrics
    |April 1, 1986
    PubMed
    Summary
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    Intracranial anomalies in fetuses and infants are linked to poor survival rates and frequent associated malformations. Prenatal ultrasound diagnosis is common, but accuracy varies, making in utero treatment inadvisable.

    Area of Science:

    • Medical imaging
    • Prenatal diagnosis
    • Neonatal neurology

    Background:

    • Intracranial anomalies encompass a range of conditions affecting fetal brain development.
    • These anomalies present significant challenges in diagnosis, management, and prognosis.
    • Understanding the spectrum and outcomes of these conditions is crucial for clinical practice.

    Purpose of the Study:

    • To analyze the diagnostic accuracy of prenatal ultrasound for intracranial anomalies.
    • To evaluate the survival rates and associated malformations in affected fetuses and infants.
    • To assess the feasibility and appropriateness of in utero treatment for ventriculomegaly.

    Main Methods:

    • Retrospective review of 59 cases of fetal and infant intracranial anomalies over 5.5 years.

    Related Experiment Videos

  • Analysis of diagnostic groups including hydrocephalus, holoprosencephaly, and hydranencephaly.
  • Evaluation of prenatal ultrasound diagnostic accuracy, associated anomalies, chromosomal abnormalities, and survival outcomes.
  • Main Results:

    • Prenatal ultrasound diagnosed 50 of 59 cases, with accuracy ranging from 90% for hydrocephalus to 33% for holoprosencephaly/hydranencephaly.
    • Associated non-neural tube malformations were present in 19/54 cases, and chromosomal abnormalities in 8/32 cases.
    • Survival was poor, with 13/59 terminations, 10/59 stillbirths, and 16/38 liveborn infants dying postnatally.

    Conclusions:

    • Thorough diagnostic evaluation including ultrasound and chromosome studies is recommended.
    • Parents should be informed about high associated anomaly rates, poor prognosis, and ultrasound limitations.
    • Current evidence suggests in utero treatment for fetal ventriculomegaly is inadvisable.