Postnatal outcome of isolated, nonprogressive, mild borderline fetal ventriculomegaly

Background This study aimed to evaluate postnatal outcome of fetuses affected by nonprogressive, isolated, mild (≥10 and ≤12 mm) borderline ventriculomegaly (BVM). Methods We studied 25 consecutive fetuses with BMV and evaluated patients' characteristic, ultrasonographic findings, and the neuro...

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Bibliographic Details
Published in:Child's nervous system 2013-05, Vol.29 (5), p.803-808
Main Authors: Kutuk, Mehmet Serdar, Ozgun, Mahmut Tuncay, Uludag, Semih, Dolanbay, Mehmet, Poyrazoglu, Hatice Gamze, Tas, Mustafa
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child, Preschool
Developmental Disabilities - diagnosis
Developmental Disabilities - etiology
Disease Progression
Female
Fetal Diseases - diagnosis
Fetal Diseases - diagnostic imaging
Fetus - abnormalities
Gestational Age
Humans
Hydrocephalus - complications
Hydrocephalus - diagnosis
Hydrocephalus - diagnostic imaging
Male
Medicine
Medicine & Public Health
Neurosciences
Neurosurgery
Original Paper
Postnatal Care
Pregnancy
Severity of Illness Index
Surveys and Questionnaires
Ultrasonography, Prenatal
Young Adult
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Summary:Background This study aimed to evaluate postnatal outcome of fetuses affected by nonprogressive, isolated, mild (≥10 and ≤12 mm) borderline ventriculomegaly (BVM). Methods We studied 25 consecutive fetuses with BMV and evaluated patients' characteristic, ultrasonographic findings, and the neurodevelopmental outcome at age ≥24 months. Results The mean gestational age at diagnosis was 23.84 ± 5.02 weeks (min–max; 17–34 weeks). In 16 cases, BVM was bilateral (16/25, 64 %), 4 left sided (4/25, 16 %), and 5 right sided (5/25, 20 %). Fourteen cases were males (14/25, 56 %), and 11 cases were females (11/25, 44 %). In two cases, ventriculomegaly was regressed 4 weeks after the initial diagnosis (2/25, 8 %), and in the remaining cases, ventriculomegaly persisted between initial measurement and 12 mm. The mean age of the infant at the time of the neurodevelopmental evaluation was 45.9 months (24–77 months). The neurodevelopmental outcome at the mean age of 45.9 months was completely normal in 16 infants (16/25, 64 %). The remaining nine infants (9/25, 36 %) had mild degree of neuromotor developmental delay. Conclusion Prenatal counseling for isolated, nonprogressive, mild BVM should be mainly reassurance since it is not associated with severe neurodevelopmental delay. However, parents should be educated about the developmental milestone of children to observe and detect mild neurodevelopmental delay which can be associated with mild BVM.
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-013-2020-0