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Neuropediatrics 1990; 21(3): 130-132
DOI: 10.1055/s-2008-1071478
Original article

© Georg Thieme Verlag KG Stuttgart · New York

Fetal Ventriculomegaly Due to Isolated Brain Malformations

M.  Amato1 , P.  Hüppi1 , P.  Durig2 , G.  Kaiser3 , H.  Schneider2
  • 1Division of Neonatology, University of Berne, CH-3012 Berne (Switzerland)
  • 2Department of Obstetrics and Gynecology, University of Berne, CH-3012 Berne (Switzerland)
  • 3Department of Pediatric Surgery, Children's Hospital, University of Berne, CH-3012 Berne (Switzerland)
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Publication History

Publication Date:
19 March 2008 (online)

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Abstract

Management of 32 consecutive cases of fetal hydrocephalus diagnosed prenatally during a five years period is presented. Thirteen cases (40 %) being patients with ventriculomegaly due to isolated brain malformation are the topic of this paper. In this group, management was conservative and consisted of termination of pregnancy by elective cesarean section after prenatal fetal assessment. Agenesis of corpus callosum (6 cases) and Dandy-Walker malformation (7 cases) were the most common observed forms. Antenatal sonography improved intrauterine follow-up. Skillful perinatal management and support facilities after birth have been found a reliable approach to conservative management of fetal hydrocephalus by lacking of satisfactory techniques for in utero permanent cerebrospinal fluid shunting.

Key words

Isolated brain malformation - Fetal management - Cerebral ultrasound

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