22周胎儿胼胝体缺失：基于 MRI 的评分和 MR Tractography 在临床决策中的作用

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Journal of Fetal Medicine Pub Date : 2024-07-22 DOI:10.1055/s-0044-1788300

N. Ghonge

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引用次数: 0

摘要

一名 32 岁女性在妊娠 22 周时接受了胎儿磁共振成像（MRI）检查，因为超声波检查发现胼胝体发育不全。核磁共振成像证实胼胝体完全缺失，并显示左侧颞叶增大、中度脑室肥大和海马定向异常。胎儿核磁共振成像评分系统显示预后不良。磁共振成像显示神经元连接异常。由于预后不良，父母接受了咨询并终止了妊娠。本病例强调了胎儿磁共振成像和束流成像在评估胼胝体发育不全和指导临床决策方面的价值。

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Agenesis of Corpus Callosum in a Fetus at 22 Weeks: Role of MRI Based Scoring and MR Tractography in Clinical Decision Making

A 32 year old woman at 22 weeks gestation underwent fetal magnetic resonance imaging (MRI) after an ultrasound detected corpus callosum agenesis. MRI confirmed complete agenesis and showed an enlarged left temporal lobe, moderate ventriculomegaly, and abnormal hippocampal orientation. The fetal MRI scoring system indicated a poor prognosis. MR tractography revealed abnormal neuronal connections. Parents were counseled and the pregnancy was terminated due to poor prognosis. This case highlights the value of fetal MRI and tractography in assessing agenesis of the corpus callosum and guiding clinical decisions.

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来源期刊

Journal of Fetal Medicine OBSTETRICS & GYNECOLOGY-

自引率

50.00%

发文量

期刊介绍： Journal of Fetal Medicine is the official journal of the Society of Fetal Medicine affiliated with International Society of Ultrasound in Obstetrics & Gynecology. This is a peer-reviewed international journal featuring articles with special interest to fetal medicine specialists, geneticists and ulstrasonologists. The aim of the journal is to communicate the results of original research in the field of fetal medicine. It includes a variety of articles suitable for clinicians and scientific specialists concerned with diagnosis and therapy of fetal disorders. All articles on health promotion of the fetus are acceptable for publication. The major focus is on highlighting the work that has been carried out in India and other developing countries. It also includes articles written by experts from the West. Types of articles published: - Original research articles related to fetal care and basic research - Review articles - Consensus guidelines for diagnosis and treatment - Case reports - Images in Fetal Medicine - Brief communications