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单绒毛膜双胎妊娠幸存者缺血性脑损伤的产前磁共振成像评估:3例报告

Prenatal magnetic resonance imaging evaluation of ischemic brain lesions in the survivors of monochorionic twin pregnancies: report of 3 cases.

作者信息

Righini Andrea, Salmona Sarah, Bianchini Elena, Zirpoli Salvatore, Moschetta Marta, Kustermann Alessandra, Nicolini Umberto, Triulzi Fabio

机构信息

Departments of Radiology and Neuroradiology, Istituti Clinici di Perfezionamento, Ospedale Buzzi-ICP, Via Castelvetro 32, 20154 Milan, Italy.

出版信息

J Comput Assist Tomogr. 2004 Jan-Feb;28(1):87-92. doi: 10.1097/00004728-200401000-00014.

Abstract

The death of 1 twin of monochorionic pairs is associated with a significant risk of brain hypoxic-ischemic damage in the survivor. Ultrasound may diagnose cerebral anomalies only a few weeks after the event. We report 3 cases of single survivors of monochorionic-twin pregnancies in which prenatal magnetic resonance imaging detected brain changes earlier and with better definition of the brain abnormalities than ultrasound.

摘要

单绒毛膜双胎妊娠中一个胎儿死亡与存活胎儿发生脑缺氧缺血性损伤的风险显著相关。超声可能在事件发生几周后才能诊断出脑异常。我们报告了3例单绒毛膜双胎妊娠的存活儿,其中产前磁共振成像比超声更早地检测到脑部变化,且对脑异常的定义更清晰。

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