胎儿侧脑室扩张的产前影像学诊断及预后

杨午博,张 军

中国临床医学影像杂志 ›› 2017, Vol. 28 ›› Issue (5) : 368-371.

中国临床医学影像杂志 ›› 2017, Vol. 28 ›› Issue (5) : 368-371.
综述

胎儿侧脑室扩张的产前影像学诊断及预后

  • 杨午博,张  军
作者信息 +

Prenatal imaging diagnosis and prognosis of fetal cerebral ventriculomegaly

  • YANG Wu-bo, ZHANG Jun
Author information +
文章历史 +

摘要

胎儿侧脑室扩张是最常见的中枢神经系统异常,超声可以早期发现,并动态监测宫内转归。MRI对胎脑发育的评价具有多方面的价值和意义,不仅可以弥补超声不足,进一步判断扩张程度,寻找病因及伴发畸形,而且也是出生后患儿预后评价的主要手段。胎儿侧脑室扩张程度不同,其预后不同。侧脑室宽度<12 mm的胎儿预后良好,对于宫内未完全转归的胎儿应重视出生后的远期随访。

Abstract

The fetal cerebral ventriculomegaly is the most common central nervous system abnormality. Fetuses with ventriculomegaly can be detected at early stage by prenatal ultrasonography. Ultrasound can dynamically monitor the width of fetal lateral ventricle. Magnetic resonance imaging has various clinical value and significance for evaluation the development of the fetal brain. As a necessary complement to ultrasound, MRI is used not only to determine the expansion degree, to find the cause and associated abnormalities, but also to evaluate the prognosis after birth. The prognosis of fetal lateral ventricle enlargement varies considerably. While isolated mild ventriculomegaly has better prognosis in which lateral ventricle width      <12 mm. For incompletely back to normal of the lateral ventricle in uterus, fetus should be paid attention to long-term follow-up after birth.

关键词

产前诊断 / 畸形 / 胎儿疾病

Key words

Prenatal diagnosis / Abnormalities / Fetal diseases

引用本文

导出引用
杨午博,张 军. 胎儿侧脑室扩张的产前影像学诊断及预后[J]. 中国临床医学影像杂志. 2017, 28(5): 368-371
YANG Wu-bo, ZHANG Jun. Prenatal imaging diagnosis and prognosis of fetal cerebral ventriculomegaly[J]. Journal of China Clinic Medical Imaging. 2017, 28(5): 368-371
中图分类号: R714.53    R445.2   

参考文献

[1]Rossi AC, Prefumo F. Additional value of fetal magnetic resonance imaging in the prenatal diagnosis of central nervous systemanomalies: a systematic review of the literature[J]. Ultrasound Obstet Gynecol, 2014, 44(4): 388-393.
[2]Beeghly M, Ware J, Soul J, et al. Neurodevelopmental outcome of fetuses referred for ventriculomegaly[J]. Ultrasound Obstet Gynecol, 2010, 35(4): 405-416.
[3]Ouahba JI, Luton D, Vuillard E, et al. Prenatal isolated mild ventriculomegaly: outcome in 167 cases[J]. BJOG, 2006, 113(9): 1072-1079.
[4]李胜利. 胎儿畸形产前超声诊断学[M]. 北京:人民军医出版社,2004:124-125.
[5]Araujo Júnior E, Martins WP, Nardozza LM, et al. Reference range of fetal transverse cerebellar diameter between 18 and 24 weeks of pregnancy in a Brazilian population[J]. J Child Neurol, 2015, 30(2): 250-253.
[6]D’Addario V, Rossi AC. Neuroimaging of ventriculomegaly in the fetal period[J]. Semin Fetal Neonatal Med, 2012, 17(6): 310-318.
[7]Gómez-Arriaga P, Herraiz I, Puente JM, et al. Mid-term neurodevelopmental outcome in isolated mild ventriculomegaly diagnosed in fetal life[J]. Fetal Diagn Ther, 2012, 31(1): 12-18.
[8]Kul S, Korkmaz HA, Cansu A, et al. Contribution of MRI to ultrasound in the diagnosis of fetal anomalies[J]. J Magn Reson Imaging, 2012, 35(4): 882-890.
[9]Chang CH, Yu CH, Chang FM, et al. The assessment of normal fetal brain volume by 3-D ultrasound[J]. Ultrasound Med Biol, 2003, 29(9): 1267-1272.
[10]Hsu S, Euerle BD. Ultrasound in pregnancy[J]. Emerg Med Clin North Am, 2012, 30(4): 849-867.
[11]Hsu PY, Yu CH, Lin K, et al. Prenatal diagnosis of fetal multicystic dysplastic kidney in the era of three-dimensional ultrasound: 10-year experience[J]. Taiwan J Obstet Gynecol, 2012, 51(4): 596-602.
[12]Righini A, Bianchini E, Parazzini C, et al. Apparent diffusion coefficient determination in normal fetal brain: a prenatal MR imaging study[J]. AJNR, 2003, 24(5): 799-804.
[13]Rangasami R, Chandrasekharan A, Joseph S, et al. Magnetic resonance signal intensity measurements in the diagnosis of fetal central nervous systemanomalies[J]. J Matern Fetal Neonatal Med, 2012, 25(6): 679-686.
[14]Bekiesinska-Figatowska M, Herman-Sucharska I, Romaniuk-Doroszewska A, et al. Brain development of the human fetus in magnetic resonance imaging[J]. Med Wieku Rozwoj, 2010, 14(1): 5-14.
[15]Manfredi R, Tognolini A, Bruno C, et al. Agenesis of the corpus callosum in fetuses with mild ventriculomegaly: role of MR imaging[J]. Radiol Med, 2010, 115(2): 301-312.
[16]Kelly EN, Allen VM, Seaward G, et al. Mild ventriculomegaly in the fetus, natural history, associated findings and outcome of isolated mild ventriculomegaly: a literature review[J]. Prenat Diagn, 2001, 21(8): 697-700.
[17]Sutton LN, Sun P, Adzick NS. Fetal neurosurgery[J]. Neurosurgery, 2001, 48(1): 124-142.
[18]Zimmerman RA, Bilaniuk LT. Magnetic resonance evaluation of fetal ventriculomegaly-associated congenital malformations and lesions[J]. Semin Fetal Neonatal Med, 2005, 10(5): 429-443.
[19]Tobías-González P, GiI Mira M, Valero de Bernabe J, et al. Differential diagnosis of Dandy-Walker syndrome different presentations[J]. Ginecol Obstet Mex, 2012, 80(8): 534-539.
[20]Guibaud L, Larroque A, Ville D, et al. Prenatal diagnosis of “isolated” Dandy-Walker malformation: imaging findings and prenatal counselling[J]. Prenat Diagn, 2012, 32(2): 185-193.
[21]Sotiriadis A, Makrydimas G. Neurodevelopment after prenatal diagnosis of isolated agenesis of the corpus callosum: an integrative review[J]. Am J Obstet Gynecol, 2012, 206(4): 337.
[22]Tee LM, Kan EY, Cheung JC, et al. Magnetic resonance imaging of the fetal brain[J]. Hong Kong Med J, 2016, 22(3): 270-278.
[23]Dogan S, Ozyuncu O. Early prenatal diagnosis of iniencephaly associated with holoprosencephaly and Cyclops[J]. J Obstet Gynaecol, 2013, 33(2): 201-202.
[24]Kubik-Huch RA, Huisman TA, Wisser J, et al. Ultrafast MR imaging of the fetus[J]. AJR, 2000, 174(6): 1599-1606.
[25]de Laveaucoupet J, Audibert F, Guis F, et al. Fetal magnetic resonance imaging(MRI) of ischemic brain injury[J]. Prenat Diagn, 2001, 21(9): 729-736.
[26]McKechnie L, Vasudevan C, Levene M. Neonatal outcome of congenital ventriculomegaly[J]. Semin Fetal Neonatal Med, 2012, 17(5): 301-307.
[27]Picone O, Simon I, Benachi A, et al. Comparison between ultrasound and magnetic resonance imaging in assessment of fetal Cytomegalovirus infection[J]. Prenat Diagn, 2008, 28(8): 753-758.
[28]Enders G, Bader U, Lindemann L, et al. Prenatal diagnosis of congenital cytomegalovirus infection in 189 pregnancies with known outcome[J]. Prenat Diagn, 2001, 21(5): 362-377.
[29]We JS, Young L, Park IY, et al. Usefulness of additional fetal magnetic resonance imaging in the prenatal diagnosis of congenital abnormalities[J]. Arch Gynecol Obstet, 2012, 286(6): 1443-1452.
[30]Blondiaux E, Garel C. Fetal cerebral imaging-ultrasound vs. MRI: an update[J]. Acta Radiol, 2013, 54(9): 1046-1054.
[31]Gaglioti P, Danelon D, Bontempo S, et al. Fetal cerebral ventriculomegaly: outcome in 176 cases[J]. Ultrasound Obstet Gynecol, 2005, 25(4): 372-377.
[32]Weichert J, Hartge D, Krapp M, et al. Prevalence, characteristics and perinatal outcome of fetal ventriculomegaly in 29,000 pregnancies followed at a single institution[J]. Fetal Diagn Ther, 2010, 27(3): 142-148.

Accesses

Citation

Detail

段落导航
相关文章

/