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Published in: Child's Nervous System 2/2020

01-02-2020 | Ultrasound | Original Article

Significance of isolated borderline ventriculomegaly

Authors: Katrin Tomic, Heidrun Schönberger, Peter Weber, Olav Lapaire, Gwendolin Manegold-Brauer

Published in: Child's Nervous System | Issue 2/2020

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Abstract

Purpose

Foetal ventriculomegaly (VM) is one of the most commonly diagnosed brain abnormalities. The aims of this study were to assess cases with isolated VM, describe the prenatal course and assess short- and long-term follow-up at the age of 2 years.

Methods

We performed a retrospective analysis from our prenatal data base and included all children that were prenatally diagnosed with VM in our unit between 2008 and 2013 (n = 250). Prenatal management, postnatal outcome and neurologic development at the age of 2 years were evaluated.

Results

A total of 106 children were born at our institution and were diagnosed prenatally with isolated borderline VM. A total of 1.9% (n = 2/106) was transferred to the neonatal unit. A total of 0.9% (n = 1/106) showed abnormal findings in postnatal brain ultrasound. A total of 1.9% (n = 2/106) showed mild neurologic abnormalities after birth, but none had to be seen by a neuropediatrician. At the follow-up at 2 years, 2.5% (n = 1/40) had an insertion of a shunt.

Conclusion

Based on our analysis, the majority of isolated borderline VM do not show short- or long-term neurological abnormalities. However, all cases of VM should be referred to a detailed prenatal ultrasound exam by a specialist.
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Metadata
Title
Significance of isolated borderline ventriculomegaly
Authors
Katrin Tomic
Heidrun Schönberger
Peter Weber
Olav Lapaire
Gwendolin Manegold-Brauer
Publication date
01-02-2020
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 2/2020
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-019-04189-x

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