학술논문

Neurodevelopmental outcome of fetal isolated ventricular asymmetry without dilation: a cohort study.
Document Type
Journal Article
Source
Ultrasound in Obstetrics & Gynecology. Oct2018, Vol. 52 Issue 4, p467-472. 6p.
Subject
*NEURODEVELOPMENTAL treatment
*OCCUPATIONAL therapy
*PHYSICAL therapy
*VENTRICULAR aneurysms
*CARDIAC aneurysms
*ADAPTABILITY (Personality)
*AGE distribution
*CEREBRAL ventricles
*GESTATIONAL age
*LONGITUDINAL method
*MAGNETIC resonance imaging
Language
ISSN
0960-7692
Abstract
Objective: Fetal isolated ventricular asymmetry (IVA) is a relatively common finding in pregnancy, but data regarding its effect on neurodevelopmental outcome are scarce and founded principally on ultrasound-based studies. The purpose of this study was to assess the neurodevelopmental outcome of IVA cases in a magnetic resonance imaging (MRI)-based study.Methods: Cases referred for fetal brain MRI as part of the assessment of IVA without ventriculomegaly (lateral ventricular atrial diameter ≤ 10 mm), identified during routine ultrasound examination, were assessed for possible inclusion. Asymmetry was defined as a difference in width of ≥ 2 mm between the two lateral ventricles. Forty-three cases were included in the study group and compared with a control group of 94 normal cases without IVA. Children were assessed at ages 13-74 months using the Vineland-II Adaptive Behavior Scales (VABS-II).Results: VABS-II scores were within normal range. There was no significant difference in composite VABS-II score between the study and control groups (106.5 vs 108.0; P = 0.454). VABS-II scores did not differ between the groups when matched for gender and age at VABS-II interview (109.6 in study group vs 107.8 in control group; P = 0.690).Conclusion: In cases of IVA without ventriculomegaly on MRI, neurodevelopmental test scores were normal and did not differ from cases without IVA. Copyright © 2018 ISUOG. Published by John Wiley & Sons Ltd. [ABSTRACT FROM AUTHOR]