PMID: 2383875Jun 1, 1990Paper

The use of magnetic resonance imaging for the diagnosis of fetal intracranial anomalies

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
D H DinhW C Hanigan

Abstract

While fetal cranial sonography has been used for the sensitive detection of ventriculomegaly, ancillary imaging techniques may be needed for precise delineation of structural abnormalities. This report outlines the radiologic and clinical results using maternal magnetic resonance imaging (MRI) in ten patients with suspected fetal intracranial anomalies. Imaging was accomplished at 17-39 weeks gestational age, using spin-echo, a multislice technique with intramuscular morphine sulfate for sedation. In four cases, MRI significantly clarified the sonographic diagnosis, while in two cases the scan agreed with the sonographic findings. In one patient, MRI failed to image a lumbar meningomyelocele associated with the Chiari II malformation. In two patients with the Chiari II malformation, both sonography and MRI failed to delineate the anatomic pathology completely. Optimal imaging resolution was achieved in the third trimester. Four patients died in the perinatal period. All the surviving patients required shunting to treat intracranial hypertension: only two patients were meeting cognitive milestones. We conclude that due to the high incidence of multiple anomalies in the fetus with ventriculomegaly, precision in neuroradiological ...Continue Reading

References

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Citations

Oct 1, 1992·Journal of Neurosurgery·G L RosseauA L Joseph
Nov 1, 1993·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·J F Martínez-LageF García Sánchez
May 19, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Denise TriguboGustavo Leguizamón
Jun 1, 1991·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·J F Martínez-LageF Hidalgo
Sep 1, 1992·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·M C Johnson
Aug 16, 2003·Radiology·Deborah LevineTejas S Mehta
Dec 20, 2003·AJR. American Journal of Roentgenology·Fergus V CoakleyRoy A Filly
Jun 1, 2006·Journal of Magnetic Resonance Imaging : JMRI·Deborah Levine
Nov 26, 2009·Pediatric Radiology·Orit A Glenn
Oct 8, 2015·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L F GonçalvesR Romero
Mar 24, 2016·Clinical Physiology and Functional Imaging·Lau BrixBrian Stausbøl-Grøn
Jun 3, 1999·Radiology·D LevineR R Edelman
Feb 24, 2001·Topics in Magnetic Resonance Imaging : TMRI·D Levine
Dec 26, 2001·Current Opinion in Pediatrics·D Levine
Jun 1, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M N Bekker, J M van Vugt
Aug 6, 2003·Radiologic Clinics of North America·Deborah LevineCharles McKenzie
Aug 3, 2011·Neuroimaging Clinics of North America·Karuna Shekdar, Tamara Feygin

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