Document Detail


Prenatal diagnosis and management of fetal hydrocephaly and lissencephaly.
MedLine Citation:
PMID:  8306357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two cases of prenatal diagnosis of lissencephaly are presented in the context of a series of 118 cases of prenatally diagnosed hydrocephalus. Within this series there was one case of Walker-Warburg syndrome and another of Miller-Dieker syndrome. It is stressed that the cases reported here of ventriculomegaly diagnosed in utero show a very different outcome from those in published studies of fetal hydrocephalus which only deal with patients in whom the diagnosis was determined after birth. In those postnatal series there is a considerable selection bias, and the fate of the fetuses reported here was much worse than in postnatal series. Of the 118 fetuses 6 had fetal infections, 6 had chromosomal abnormalities, 26 had associated spina bifida, 64 fetuses had associated other anomalies, and only 28 had isolated hydrocephalus. Although it is difficult to determine the prognosis individually after prenatal diagnosis of ventriculomegaly, the data presented here may be helpful in counseling parents prenatally. The counseling should be performed with the collaboration of obstetricians, pediatricians, surgeons, and geneticists.
Authors:
W Holzgreve; R Feil; F Louwen; P Miny
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  9     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-03-14     Completed Date:  1994-03-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  408-12     Citation Subset:  IM    
Affiliation:
Zentrum für Frauenheilkunde Westfälische Wilhelms-Universität, Münster, Germany.
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MeSH Terms
Descriptor/Qualifier:
Cerebral Cortex / abnormalities*
Cerebral Ventricles / ultrasonography
Chromosome Aberrations / diagnosis
Chromosome Disorders
Corpus Callosum / abnormalities
Counseling
Female
Fetal Diseases / diagnosis*,  mortality
Heart Defects, Congenital / diagnosis
Humans
Hydrocephalus / diagnosis*,  etiology
Karyotyping
Pregnancy
Prenatal Care
Prenatal Diagnosis*
Prognosis
Spinal Dysraphism / complications,  diagnosis
Survival Rate
Syndrome
Toxoplasmosis / complications,  diagnosis
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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