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Doppler-flow velocity indices in fetal middle cerebral artery in unilateral and bilateral mild ventriculomegaly.
MedLine Citation:
PMID:  20836745     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective.?To study the association between fetal middle cerebral artery (MCA) Doppler-flow velocity waveforms and the lateral cerebral ventricular width in fetuses diagnosed with unilateral or bilateral ventriculomegaly. Methods.?A prospective cohort evaluation of the association between Doppler-flow velocity indices of the MCA and ventricular width in singleton fetuses referred because of suspected ventriculomegaly between 20 and 40 weeks' gestation. Fetuses that were diagnosed as bilateral or unilateral ventriculomegaly were assigned to the study group and those with normal ventricular width served as controls. Results.?Of the 53 women recruited to the study, in 30 (57%) fetuses (study group) at least one ventricle ?10?mm was detected, of them 10 (33%) had bilateral ventriculomegaly and 20 (67%) had unilateral ventriculomegaly. Of the 30 fetuses 29 had mild ventriculomegaly. In 23 fetuses ventricular width was <10?mm (control group). Mean MCA pulsatility index (PI) and mean peak systolic velocity (PSV) were not different between the study group and the control group (p?=?0.935 and p?=?0.743, respectively). In a linear regression model, MCA-PSV was significantly correlated with gestational age, R(2)?=?0.309, p?<?0.001. Discussion.?Unilateral or bilateral mild ventriculomegaly is not associated with fetal MCA change in Doppler-flow velocity indices, suggesting different involvement of vascular component from severe ventriculomegaly.
Authors:
Gustavo Malinger; Ran Svirsky; Avi Ben-Haroush; Abraham Golan; Jacob Bar
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Publication Detail:
Type:  Journal Article     Date:  2010-09-14
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  24     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  506-10     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Wolfson Medical Center, Holon, Israel.
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