Prenatal diagnosis of aneurysms of the vein of Galen (vena magna cerebri) with conventional sonography, three-dimensional sonography, and magnetic resonance imaging: report of 2 cases.

Autor: Gerards FA; Department of Obstetrics and Gynecology, VU Medical Center, Amsterdam, The Netherlands. fa.gerards@vumc.nl, Engels MA, Barkhof F, van den Dungen FA, Vermeulen RJ, van Vugt JM
Jazyk: angličtina
Zdroj: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine [J Ultrasound Med] 2003 Dec; Vol. 22 (12), pp. 1363-8.
DOI: 10.7863/jum.2003.22.12.1363
Abstrakt: Objective: To describe the cases of 2 fetuses with aneurysms of the vein of Galen diagnosed prenatally.
Methods: The techniques used were conventional sonography, three-dimensional sonography, and ultrafast magnetic resonance imaging. On the basis of these imaging modalities, prognostic factors, such as drainage and secondary damage, were assessed.
Results: The first fetus had good prognostic indices, and embolization after birth was successful. According to the prognostic factors, a poor neonatal outcome was predicted for the second fetus. The neonate died soon after birth.
Conclusions: Conventional sonography, color Doppler imaging, and magnetic resonance imaging appeared to be useful diagnostic tools. The prognostic factors can be useful in counseling patients and providing the best possible care after birth.
Databáze: MEDLINE
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