[Ventriculomegaly and its relation to skull circumference]

Area of Science:

• Pediatric Neurology
• Medical Imaging
• Neonatology

Background:

• Ventriculomegaly is frequently detected in early stages using ultrasound (US) for brain visualization.
• It can result from increased intraventricular pressure or cerebral tissue atrophy.
• Diagnosing increased intraventricular pressure is complicated by the interplay between brain tissue compliance and skull resistance, influenced by patient age.

Observation:

• The study presents three patient cases illustrating diagnostic challenges in ventriculomegaly.
• Transfontanellar sonography allows for the follow-up of head circumference and ventricular diameter.
• This method provides crucial knowledge of intracranial pathology, even in the absence of clear clinical signs.

Findings:

• Transfontanellar sonography is excellent for determining therapeutic management in infants with ventriculomegaly.
• Monitoring head circumference and ventricular size aids in assessing intracranial pathology.
• Ultrasound provides a more accessible and patient-friendly method for follow-up compared to CT scans.

Implications:

• Early and accurate diagnosis of ventriculomegaly through US can lead to timely intervention.
• Non-invasive monitoring via sonography facilitates effective treatment follow-up.
• This approach improves patient management and outcomes in neonatal neuroimaging.