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A Journal on Obstetrics and Gynecology

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Minerva Ginecologica 2009 April;61(2):109-12

language: English

Fetal borderline cerebral ventriculomegaly: clinical significance and management

Simioli S., Napolitano R., Quaglia F., Mazzarelli L. L., Agangi A., Mallia Milanes G., Tessitore G., Iannaccone A., Maruotti G. M., Martinelli P.

Ostetrics and Ginecology Emergency Unit Department of Ostetrics, Ginecology and Reproduction Physiopathology University Federico II, Naples, Italy


Aim. The aim of this study was to evaluate the clinical significance and the management of fetal borderline lateral cerebral ventriculomegaly.
Methods. Fetuses with a sonographic diagnosis of lateral cerebral ventriculomegaly isolated or associated to other fetal malformations were followed monthly and a review of the English-language literature was made.
Results. Of 86 fetuses analyzed, 30 suffered from hydrocephaly (monolateral, bilateral), 56 showed also several other malformations . Chromosomal aberrations is possible also in case of isolated hydrocephaly. Neurological sequelae, mostly a mild to moderate delay in cognitive and/or motor development, is present in 10% of the cases.
Conclusion. In most cases, isolated borderline lateral cerebral ventriculomegaly has no consequence. However, the risk of cerebral maldevelopment, delayed neurological development and, possibly, chromosomal aberrations is increased. The optimum management of these cases remains uncertain.

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