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胎儿脑血管畸形:诊断与预后

Brain vascular malformations in the fetus: diagnosis and prognosis.

作者信息

Brunelle Francis

机构信息

Pediatric Radiology, Groupe Hospitalier Necker-Enfants Malades, 149 rue de Sèvres, 75743 Paris Cedex 15, France.

出版信息

Childs Nerv Syst. 2003 Aug;19(7-8):524-8. doi: 10.1007/s00381-003-0791-4. Epub 2003 Aug 14.

DOI:10.1007/s00381-003-0791-4
PMID:12920542
Abstract

UNLABELLED

DIAGNOSIS OF BRAIN VASCULAR MALFORMATIONS IN THE FETUS: Vein of Galen aneurysms can be diagnosed in utero. Other malformations are not seen. Ultrasound makes the diagnosis by showing a "cystic" structure in the posterior fossa. Colour Doppler shows the high flow.

PROGNOSIS

The prognosis can be established by MRI. Bad prognosis factors are brain atrophy, cardiac insufficiency and complexity of the malformation. If these factors are absent, postnatal treatment by embolisation can be scheduled.

摘要

未标注

胎儿脑血管畸形的诊断:大脑大静脉动脉瘤可在子宫内诊断。其他畸形则无法看到。超声通过在后颅窝显示“囊性”结构来进行诊断。彩色多普勒显示高血流。

预后

预后可通过磁共振成像(MRI)确定。不良预后因素包括脑萎缩、心脏功能不全和畸形的复杂性。如果不存在这些因素,可安排出生后进行栓塞治疗。

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引用本文的文献

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Med Int (Lond). 2024 Aug 5;4(6):63. doi: 10.3892/mi.2024.187. eCollection 2024 Nov-Dec.
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Literature review and case report: Rare case of successful prenatal detection of Vein of Galen Malformation (VGAM).文献综述与病例报告:成功产前检测大脑大静脉畸形(VGAM)的罕见病例。
Eur J Obstet Gynecol Reprod Biol X. 2024 Mar 26;22:100306. doi: 10.1016/j.eurox.2024.100306. eCollection 2024 Jun.
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Vein of Galen malformation in a neonate: A case report and review of endovascular management.
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World J Clin Pediatr. 2017 Feb 8;6(1):103-109. doi: 10.5409/wjcp.v6.i1.103.
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