Journal: Ultrasound in Obstetrics & Gynecology
Article Title: Morphological patterns of fetal lateral ventricular border irregularities: descriptive study
doi: 10.1002/uog.70217
Figure Lengend Snippet: Patterns of lateral ventricular border irregularities (LVBI) observed with malformations of cortical development, and corresponding schematic diagrams. (a–c) Case M2, diagnosed prenatally with atretic posterior encephalocele. Sagittal (a,b) and coronal (c) transvaginal ultrasound at 24 weeks shows a mixed LVBI pattern including undulations (arrow heads), wedge‐shaped indentation (hollow arrow) and abnormal sulcation (curved line). Autopsy demonstrated periventricular nodular heterotopia (PNH) and subcortical heterotopia. (d,e) Case M1. (d) Sagittal transvaginal ultrasound at 24 weeks shows mixed LVBI pattern, including undulations (arrow heads) and wedge‐shaped indentation (hollow arrow). (e) Coronal transvaginal ultrasound at 24 weeks shows abnormal sulcation overlying ventricular border (curved line). Associated anomalies in this female fetus, including agenesis of the corpus callosum and retinal coloboma, suggest Aicardi syndrome. (f,g) Case M3. (f) Sagittal transvaginal ultrasound at 35 weeks shows diffuse mixed LVBI pattern with wedge‐shaped indentations (hollow arrows) and nodular protrusions (arrows). (g) Coronal T2‐weighted magnetic resonance imaging (MRI) at 35 weeks shows corresponding nodules isointense to cortex (arrows), consistent with PNH, and wedge‐shaped indentations (hollow arrow). Additional brain malformations and retinal coloboma in this female fetus support a diagnosis of Aicardi syndrome. (h–j) Case WI13. (h) Coronal transvaginal ultrasound at 32 weeks shows a deep wedge‐shaped indentation (hollow arrow), extending into unilateral cleft schizencephaly. (i,j) Coronal T2‐weighted MRI at 32 weeks (i) better delineates the transmantle cleft (hollow arrow), with a corresponding wedge‐shaped indentation in the sagittal view (j) (hollow arrow). Ipsilateral perisylvian polymicrogyria is evident (curved line).
Article Snippet: We searched the electronic ultrasound and magnetic resonance imaging (MRI) databases of Wolfson Medical Center, Holon, Israel; Sheba Medical Center, Ramat Gan, Israel; and Bnai‐Zion Medical Center, Haifa, Israel, for examinations performed between 1 January 2014 and 31 December 2022 owing to suspected fetal anomalies or intrauterine infection.
Techniques: Magnetic Resonance Imaging, Biomarker Discovery