A comparative MR and pathological study on fetal CNS disorders

作者: Wan-Yuo Guo , Cheng-Yen Chang , Donald M Ho , Tai-Tong Wong , Ming-Huei Sheu

DOI: 10.1007/S003810100471

关键词:

摘要: Object: We used MR after sonography to help us in prenatal counseling 58 complicated pregnancies from 1998 2000. Methods: All fetal examinations were undertaken with a 1.5-T magnet using body-phased-array coil and an ultrafast imaging technique, half-Fourier single-shot turbo spin-echo (HASTE). Twelve fetuses found have major anomalies, each of these cases either delivery was induced or the pregnancy terminated. In 6 fetuses, anomalies central nervous system, postmortem then performed they failed survive, constitute patient sample investigated current study. The gestational ages ranged 24 32 weeks. demonstrated morphological details anomalies. They were: alobar holoprosencephaly 2, middle interhemispheric fusion 1, Dandy-Walker malformations variant 1 twin-twin transfusion syndrome hypoxic-ischemic injury brain 1. Conclusions: Postmortem confirmed diagnoses, observations support improving our understanding pathogenesis CNS

参考文章(11)
N.M. Fisk, U. Nicolini, J. Wigglesworth, P. McParland, L. Fusi, Acute twin-twin transfusion: a possible mechanism for brain-damaged survivors after intrauterine death of a monochorionic twin. Obstetrics & Gynecology. ,vol. 78, pp. 517- 520 ,(1991)
A J Barkovich, D J Quint, Middle interhemispheric fusion: an unusual variant of holoprosencephaly. American Journal of Neuroradiology. ,vol. 14, pp. 431- 440 ,(1993)
D Levine, P D Barnes, S Sher, R C Semelka, W Li, C R McArdle, S Worawattanakul, R R Edelman, Fetal fast MR imaging: reproducibility, technical quality, and conspicuity of anatomy. Radiology. ,vol. 206, pp. 549- 554 ,(1998) , 10.1148/RADIOLOGY.206.2.9457211
D Levine, P D Barnes, J R Madsen, W Li, R R Edelman, Fetal central nervous system anomalies: MR imaging augments sonographic diagnosis. Radiology. ,vol. 204, pp. 635- 642 ,(1997) , 10.1148/RADIOLOGY.204.3.9280237
Shizuo Oi, Yumie Honda, Mitsuru Hidaka, Osamu Sato, Satoshi Matsumoto, Intrauterine high-resolution magnetic resonance imaging in fetal hydrocephalus and prenatal estimation of postnatal outcomes with "perspective classification" Journal of Neurosurgery. ,vol. 88, pp. 685- 694 ,(1998) , 10.3171/JNS.1998.88.4.0685
ROBERT B. CINCOTTA, NICHOLAS M. FISK, Current Thoughts on Twin-twin Transfusion Syndrome Clinical Obstetrics and Gynecology. ,vol. 40, pp. 290- 302 ,(1997) , 10.1097/00003081-199706000-00006
Anne M. Hubbard, N. Scott Adzick, Timothy M. Crombleholme, Beverly G. Coleman, Lori J. Howell, John C. Haselgrove, Saroosh Mahboubi, Congenital chest lesions: diagnosis and characterization with prenatal MR imaging. Radiology. ,vol. 212, pp. 43- 48 ,(1999) , 10.1148/RADIOLOGY.212.1.R99JL3143
Fergus V. Coakley, Hedvig Hricak, Roy A. Filly, Anthony J. Barkovich, Michael R. Harrison, Complex fetal disorders: effect of MR imaging on management--preliminary clinical experience. Radiology. ,vol. 213, pp. 691- 696 ,(1999) , 10.1148/RADIOLOGY.213.3.R99DC39691
Yasuhiro Nakamura, Yasuaki Fujiyoshi, Seiichi Fukuda, Takamoto Matsunaga, Takeo Hashimoto, Akihiko Manabe, Teruyuki Nakashima, CYSTIC BRAIN LESION IN UTERO Pathology International. ,vol. 36, pp. 613- 620 ,(1986) , 10.1111/J.1440-1827.1986.TB01051.X
M.L. Denbow, M.R. Battin, F. Cowan, D. Azzopardi, A.D. Edwards, N.M. Fisk, Neonatal cranial ultrasonographic findings in preterm twins complicated by severe fetofetal transfusion syndrome. American Journal of Obstetrics and Gynecology. ,vol. 178, pp. 479- 483 ,(1998) , 10.1016/S0002-9378(98)70424-7