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Use of MRI in Evaluating Fetal Ventriculomegaly

Use of MRI in Evaluating Fetal Ventriculomegaly

Use of MRI in Evaluating Fetal Ventriculomegaly

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Lisa McLeod HMS III<br />

Gillian Lieberman, MD<br />

Corpus callosum<br />

BIDMC<br />

17 weeks to 23 weeks GA<br />

Increase sulcation (calcar<strong>in</strong>e,parieto-occipital)<br />

Cell migration creates Intermediate layer between<br />

germ<strong>in</strong>al matrix and cortical ribbon<br />

Reduced Ventricle size<br />

Megendi & Lushka form allow<strong>in</strong>g CSF flow<br />

to subarachnoid<br />

Midl<strong>in</strong>e structures further reduce ventricle<br />

size (i.e. Corpus Call, Sept. Pallucidum)<br />

Lower Bra<strong>in</strong>stem Myel<strong>in</strong>ation<br />

NL 17 Wk Fetus NL 23 Wk Fetus<br />

Atrium <strong>of</strong> Ventricle<br />

Cortical<br />

Ribbon<br />

Subarachnoid<br />

CSF<br />

Septum Pallucidum<br />

Patent Aqueduct<br />

Bra<strong>in</strong>stem Myel<strong>in</strong>ation<br />

BIDMC<br />

Germ<strong>in</strong>al<br />

matrix Atrium <strong>of</strong> Ventricle<br />

Lower images from http://www.radnet.ucla.edu/residents/chief/residentrounds1.htm

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