Antenatal management of fetal neurosurgical diseases

The advance in the imaging tools during the pregnancy (ultrasound and magnetic resonance) allowed the early diagnose of many fetal diseases, including the neurological conditions. This progress brought the neurosurgeons the possibility to propose treatments even before birth. Myelomeningocele is the...

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Bibliographic Details
Published in:Child's nervous system 2017-07, Vol.33 (7), p.1125-1141
Main Authors: Cavalheiro, Sergio, da Costa, Marcos Devanir Silva, Mendonça, Jardel Nicacio, Dastoli, Patricia Alesssandra, Suriano, Italo Capraro, Barbosa, Mauricio Mendes, Moron, Antonio Fernandes
Format: Article
Language:English
Subjects:
Cerebrospinal Fluid Shunts
Disease Management
Fetal Diseases - diagnosis
Fetal Diseases - surgery
Focus Session
Humans
Medicine
Medicine & Public Health
Neurosciences
Neurosurgery
Neurosurgical Procedures - methods
Prenatal Diagnosis - methods
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Summary:The advance in the imaging tools during the pregnancy (ultrasound and magnetic resonance) allowed the early diagnose of many fetal diseases, including the neurological conditions. This progress brought the neurosurgeons the possibility to propose treatments even before birth. Myelomeningocele is the most recognized disease that can be treated during pregnancy with a high rate of success. Additionally, this field can be extended to other conditions such as hydrocephalus and encephaloceles. However, each one of these diseases has nuances in the diagnostic evaluation that should fit the requirements to perform the fetal procedure and overbalance the benefits to the patients. In this article, the authors aim to review the neurosurgical aspects of the antenatal management of neurosurgical conditions based on the experience of a pediatric neurosurgery center.
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-017-3442-x