Document Detail


Diagnosis, outcome, and management of fetal abnormalities: fetal hydrocephalus.
MedLine Citation:
PMID:  12920541     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: It has been recognized that the morphological fetal CNS findings detected in early development are not always the final features: occasionally they may not be determined in diagnosis and may change developmentally or chronologically during the fetal life in utero.
DISCUSSION: Certain factors of the fetal chronology of CNS anomalies can cause irreversible changes during fetal life. These include: significant delay in the neuronal maturation process in fetal hydrocephalus developed in clinico-embryological stage II of the Perspective Classification of Congenital Hydrocephalus (PCCH), secondary neural injury in the intactly developing spinal cord above the neural placode in fetuses with spina bifida aperta (myeloschisis), histological "evolution" of tumors or dysgenetic CNS, and deformity of the normally developed intracranial or intraspinal CNS structures. Considering the current status of fetal surgery in general and technical advances promising improved outcomes, fetal neurosurgery can also be applied to the above-mentioned progressive pathology or pathophysiology in the fetal CNS. However, since the failure of the first trial of fetal neurosurgery in the 1980s, the prerequisites have still not been clarified. In order to use advanced neurosurgery techniques in the management of fetal CNS anomalies, these prerequisites have to be established.
Authors:
Shizuo Oi
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2003-08-14
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  19     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-09-04     Completed Date:  2003-12-04     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  508-16     Citation Subset:  IM    
Affiliation:
Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Jikei University, 3-25-8 Nishi Shinbashi, Minato-ku, 105-6451 Tokyo, Japan. shizuo.prof.oi@jikei.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Animals
Brain / abnormalities*,  embryology,  pathology
Disease Models, Animal
Embryonic and Fetal Development*
Female
Fetal Diseases / classification,  embryology,  ultrasonography
Fetus / abnormalities*
Gestational Age
Humans
Hydrocephalus / classification,  embryology,  therapy,  ultrasonography*
Infant, Newborn
Magnetic Resonance Imaging
Nervous System Malformations / classification,  pathology
Pregnancy
Pregnancy Outcome
Prenatal Diagnosis
Rats
Treatment Outcome*
Ultrasonography, Prenatal

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