Fluss Joel, Pellegrinelli Jean-Marie, Fokstuen Siv, Moutard Marie-Laure, Garel Catherine, Bahi-Buisson Nadia, Bilieux Marie-Hélène, Hanquinet Sylviane
Pediatric Neurology, Pediatric Subspecialties Service, Geneva Children's Hospital, Switzerland.
Department of Gynecology and Obstetrics, University Hospitals of Geneva, Geneva, Switzerland.
Neuropediatrics. 2016 Jan;47(1):57-60. doi: 10.1055/s-0035-1566447. Epub 2015 Nov 16.
Severe fetal ventriculomegaly is generally associated with poor prognosis in terms of survival and neurodevelopment outcome. As such, many parents opt to terminate the pregnancy independently of a known etiology. We report here the case of a female fetus with severe progressive ventriculomegaly due to the unexpected presence of bilateral nodular periventricular heterotopias visualized on MRI of a fetal brain. Reaching a structural diagnosis was perceived as a relief for the parents and the pregnancy was continued. Neurodevelopment assessment at 3 years of age is normal with no epilepsy.
就生存和神经发育结局而言，严重胎儿脑室扩大通常与预后不良相关。因此，许多父母会不顾病因已知而选择终止妊娠。我们在此报告一例女性胎儿，因胎儿脑部MRI显示意外出现双侧结节性脑室周围异位，导致严重进行性脑室扩大。明确结构诊断让父母松了一口气，于是继续妊娠。3岁时的神经发育评估正常，无癫痫发作。
