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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Reiss, Irwin / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

9 Issues per year


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Online
ISSN
1619-3997
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Volume 33, Issue 5 (Oct 2005)

Issues

The midsagittal view of the fetal brain: a useful landmark in recognizing the cause of fetal cerebral ventriculomegaly

Vincenzo D'Addario
  • Fetal Medicine Unit, Department of Obstetrics and Gynecology, University Medical School, Bari, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Vincenzo Pinto
  • Fetal Medicine Unit, Department of Obstetrics and Gynecology, University Medical School, Bari, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Luca Di Cagno
  • Fetal Medicine Unit, Department of Obstetrics and Gynecology, University Medical School, Bari, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Armando Pintucci
  • Fetal Medicine Unit, Department of Obstetrics and Gynecology, University Medical School, Bari, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2005-09-13 | DOI: https://doi.org/10.1515/JPM.2005.075

Abstract

Aim: To evaluate the positive predictive value of the midsagittal view of the fetal brain in recognizing the cause of ventriculomegaly diagnosed with traditional axial scan.

Methods: Fifty-eight pregnant women, referred to our Center following a generic diagnosis of ventriculomegaly have been evaluated: 38 had marked and 20 had borderline ventriculomegaly. The fetal brain was scanned by the midsagittal view using a transabdominal probe in fetuses in breech presentation or transverse lie and a transvaginal probe in fetuses in cephalic presentation. The possible cause of ventriculomegaly was postulated by combining the findings of the corpus callosum/cavum septi pellucidi complex with those of the posterior fossa. The prenatal diagnoses were compared with the anatomical specimens of aborted fetuses or with postnatal neuroimaging.

Results: The prenatal diagnoses were confirmed in 54/58 cases (PPV 93.1%). In the marked ventriculomegaly group, one case of partial agenesis of the corpus callosum was mistaken for a complete agenesis. In the group of borderline ventriculomegaly, two cases of partial agenesis of the corpus callosum were confused with a complete agenesis, while one case of suspected isolated ventriculomegaly was diagnosed after birth as partial agenesis of the corpus callosum.

Conclusions: The sagittal scan of the fetal brain is a useful source of information and allows the contemporary view of both corpus callosum and posterior fossa, where various typical sonographic findings are present in ventriculomegaly.

Keywords: Chiari II malformation; corpus callosum; Dandy-Walker complex; fetus; hydrocephalus; prenatal diagnosis; ultrasound; ventriculomegaly

About the article

Corresponding author: Prof. Vincenzo D'Addario Fetal Medicine Unit Dept. of Obstetrics and Gynecology Ospedale Policlinico Piazza G. Cesare 70124 Bari, Italy Tel.: +390805478931 Fax: +390805478928


Received: April 12, 2005

Accepted: June 9, 2005

Published Online: 2005-09-13

Published in Print: 2005-10-01


Citation Information: Journal of Perinatal Medicine, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2005.075.

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