Anterior extension of the choroid plexus into the frontal horns of the fetal lateral cerebral ventricles: Prenatal findings and postnatal outcome.
Prenat Diagn
; 43(6): 756-762, 2023 06.
Article
en En
| MEDLINE
| ID: mdl-36946677
ABSTRACT
OBJECTIVE:
To evaluate the short- and long-term outcome of fetuses with evidence of extension of the choroid plexus into the frontal horns.METHODS:
This is a retrospective cohort study of fetuses diagnosed with isolated choroid plexi extending into the frontal horns. Fetuses with major central nervous system anomalies were excluded. Ultrasound and fetal/postnatal magnetic resonance imaging (MRI) were evaluated. Postnatal outcomes, including developmental assessment, were obtained.RESULTS:
Twenty nine fetuses were diagnosed with choroid plexus extension (22 unilateral and 7 bilateral). Gestational age at diagnosis was 19.3 weeks. Three cases (10.3%) presented with nonspecific extra-CNS findings. At presentation, 8/29 (28%) cases had single/multiple choroid plexus cysts (CPC). Twenty-six (89.6%) cases underwent antenatal MRI. On MRI, four cases had punctate susceptibility weighted imaging (SWI) foci suggesting trace hemosiderin and two cases had ventriculomegaly. Antenatal follow-up demonstrated resolution of the choroid plexus extension in 90% (18/20). Gestational age at delivery was 39.6 weeks. All had normal neurologic examinations within 24 h of life. Postnatal MRI studies were notable for deep venous differences in seven cases. Long-term clinical outcome was assessed in 14 cases with a median follow-up of 1.75 years, with normal neurodevelopment reported in 13/14 (92.8%).CONCLUSIONS:
Most fetuses with an anterior extension of the choroid plexus as the sole sonographic finding had favorable outcomes.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades Fetales
/
Malformaciones del Sistema Nervioso
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
Límite:
Female
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Humans
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Infant
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Pregnancy
Idioma:
En
Año:
2023
Tipo del documento:
Article