Accurate neurosonographic prediction of brain injury in the surviving fetus after the death of a monochorionic cotwin

Simonazzi, Giuliana; Segata, M.; Ghi, T.; Sandri, Fabrizio; Ancora, Gina; Bernardi, Bruno; Tani, Giovanni; Rizzo, Nicola; Santini, Donatella; Bonasoni, Maria Paola; Pilu, Gianluigi

doi:10.1002/uog.2701

Cited by 51 publications

(34 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,5 In some cases of single-twin death, intracranial abnormalities can be detected sonographically. 6 However, the exact timing of the developing intracranial pathology in relation to the death of a co-twin has not been established. The role of MR imaging in diagnosing fetal cerebral abnormalities after the death of a co-twin is still unknown.…”

mentioning

confidence: 99%

Diffusion MRI Findings in Monochorionic Twin Pregnancies after Intrauterine Fetal Death

Hoffmann

Weisz

Yinon³

et al. 2012

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Diffusion MRI Findings in Monochorionic Twin Pregnancies after Intrauterine Fetal Death

Hoffmann

Weisz

Yinon³

et al. 2012

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

show abstract

“…Central nervous system (CNS) malformations are some of the most common congenital abnormalities (10 per 1000 live births, compared to heart at 8 per 1000, kidneys at 4 per 1000, and limbs at 1 per 1000 44 ). The FT scan was reported recently with a higher degree of detection for major CNS anomalies -53-69%.…”

Section: The First Trimester Central Nervous System Morphological Assmentioning

confidence: 99%

“…Also, some cerebral lesions are not due to defective embryological development but represent the consequence of acquired prenatal or perinatal damage. [44][45][46] The most important congenital anomalies of the nervous system concerning prevalence and severity are usually detectable during the FT scan, including holoproencephaly and some neural tube defects (NTDs). The visualization of the falx cerebri, calvaria and head shape are easily achieved in the FT transverse incidence, thus, holoprosencephaly and encephalocele are detectable.…”

Section: The First Trimester Central Nervous System Morphological Assmentioning

confidence: 99%

First Trimester Anomaly Scan—The Last Redoubt Won: Open Spina Bifida

Novac¹,

Tudorache²,

Gabriel³

et al. 2015

Donald School Journal of Ultrasound in Obstetrics and Gynecology

View full text Add to dashboard Cite

Open spina bifida (OSB) is a non-lethal fetal anomaly, yet often leads to severe disability. Most cases of open spina bifida are detected at the second trimester fetal anomaly ultrasound scan. The 11 to 13 weeks of amenorrhea scan evolved over the last 20 years from essentially a dating scan, to a genetic scan, and recently to one which includes, in addition to the genetic markers, a basic checklist for examination of the whole fetal anatomy. The direct visualization of the spine at the first trimester (FT) scan remained difficult, despite the wider use of high-reso lution ultrasound machines and the volumetric approach. Thus, indirect intracranial morphological markers for OSB were proposed to diagnose this neural tube defect.The present review aims to describe the specific anatomical feature of the spine and the posterior brain, both on parasagittal and on axial planes, recently proposed for the early detection of OSB.Specialists involved in the prenatal diagnosis will eventually elaborate in the future a screening protocol for OSB in the FT of pregnancy, using the most valuable and easy to obtain marker, in a single 2D plane.The offer of an early diagnosis of possible severe anomalies, such as OSB, is a tool enhancing the autonomy of the pregnant woman.

show abstract

“…Fetal. Las causas fetales más frecuentemente reportadas como origen de la muerte de un gemelo in útero son el síndrome de transfusión feto fetal (STFF), las malformaciones o síndromes fetales, las infecciones y la restricción de crecimiento fetal (RCF) (14,20,21). Lamentablemente, existen limitantes para aclarar la causa de muerte fetal, habitualmente solo la mitad de los fetos son enviados a estudio de anatomía patología y el 62,5% de ellos estaban macerados (14).…”

Section: Etiologíaunclassified

“…Una evaluación de la utilidad de la RM, describe la importancia de un examen inicial y repetirlo por lo menos 2 semanas después para detectar lesiones subagudas o crónicas en el feto sobreviviente (50). Se explica que un examen normal no está exento de daño fetal, sin embargo, da mejor pronóstico no tener lesiones (14,20).…”

Section: Resonancia Magnética (Rm)unclassified

Pautas de manejo del embarazo múltiple complicado con la muerte fetal in útero de un gemelo

2012

Rev. chil. obstet. ginecol.

View full text Add to dashboard Cite

RESUMENEl embarazo múltiple está asociado a un aumento en la mortalidad y morbilidad perinatal, comparado con el embarazo único. Una complicación grave que afecta al embarazo gemelar es la muerte fetal in útero de un gemelo, situación que implica un riesgo de morbilidad/mortalidad para el feto sobreviviente y la embarazada. En base a la mejor evidencia disponible sugerimos una pauta de manejo que permita optimizar el resultado perinatal del gemelo sobreviviente y de la embarazada. PALABRAS CLAVE: Embarazo gemelar, muerte de un gemelo, feto sobreviviente SUMMARYTwin pregnancy is associated with increased perinatal mortality and morbidity compared with singleton pregnancy. A serious complication in a twin pregnancy is the intrauterine fetal demise of one fetus; this situation involves a larger risk of morbidity and mortality for the surviving fetus and the pregnant woman. Based in the best available evidence we suggest a management guideline to optimize the outcomes of the surviving twin and the pregnant women.

show abstract

Accurate neurosonographic prediction of brain injury in the surviving fetus after the death of a monochorionic cotwin

Abstract: Objective To assess the feasibility of the prenatal diagnosis using fetal neurosonography of brain injuries in the surviving fetus after the demise of a monochorionic cotwin. Methods

Cited by 51 publications

References 18 publications

Diffusion MRI Findings in Monochorionic Twin Pregnancies after Intrauterine Fetal Death

Diffusion MRI Findings in Monochorionic Twin Pregnancies after Intrauterine Fetal Death

First Trimester Anomaly Scan—The Last Redoubt Won: Open Spina Bifida

Pautas de manejo del embarazo múltiple complicado con la muerte fetal in útero de un gemelo

Contact Info

Product

Resources

About