Intracranial teratoma: Antenatal diagnosis at 31 weeks' gestation by ultrasound

Vinters, Harry V.; Murphy, J. J.; Wittmann, Bernd K.; Norman, Margaret G.

doi:10.1007/bf00690807

Cited by 31 publications

(12 citation statements)

References 13 publications

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“…This represents only the second reported case of an antenatally detected craniopharyngioma (Freeman et al, 1988;Snyder et al, 1986). Although four other cases of intracranial tumours have b,een detected in utero by ultrasonography (Crade, 1982;Vinters et al, 1982;HofTand Mackay, 1980;Kirkinen et a/., 1982) and one by computed tomography (Kirkinen ef a/., 1982), this is the first instance in Mrhich MRI has been utilized. The MR images combine the advantage of localizing masses and defining their relationship to the surrounding brain parenchyma without biological hazard of fetal radiation exposure (Fishbein, 1988).…”

Section: Discussionmentioning

confidence: 83%

“…The prognosis of congenital brain tumours presenting in infancy has generally been poor, with almost uniform mental retardation and severe neurological handicaps occurring in those infants who survive surgery during the neonatal period. The other four reported cases of antenatally detected intracranial tumors were teratomas: two of these were stillborn (Vinters et al, 1982; Kirkinen et a/., I982), one succumbed within the first few minutes of life (Hoff and Mackay, 1980), and the other died 2 h after birth (Crad 'e, 1982). The previously reported case of a craniopharyngioma which was detected in utero lived for 3 days.…”

Section: Discussionmentioning

confidence: 99%

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Prenatal diagnosis of a craniopharyngioma using ultrasonography and magnetic resonance imaging

et al. 1990

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We report an infant with a craniopharyngioma which was detected in utero. Maternal uterine ultrasonography, done at 27 weeks because of polyhydramnios, revealed a 4 cm midline mass near the base of the fetal skull. At 31 weeks, magnetic resonance imaging of the maternal abdomen confirmed the presence of a mass in the region of the third ventricle and revealed hydrocephalus. Two days post-partum a computed tomography (CT)-guided needle biopsy of the mass was performed and recovered tissue which was histologically consistent with a craniopharyngioma. The infant's postnatal period was complicated by seizures, which were treated with phenobarbital, and by progressive hydrocephalus, necessitating placement of a ventriculo-peritoneal shunt. He also received therapy for central hypothyroidism and diabetes insipidus. The infant's parents refused permission for attempted resection of the tumour and he died at 8 weeks of age. This represents the second reported case of an antenatally detected craniopharyngioma. Four other cases of different intracranial tumours have been detected in utero using ultrasound, with no reported survivors past 3 days of age. There is a uniformly poor prognosis of such infants, but earlier diagnosis and intervention may change this result.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of a craniopharyngioma using ultrasonography and magnetic resonance imaging

et al. 1990

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“…Die Prognose für ein Neugeborenes mit einem oropharyngeal-intrakraniellen gewachsenen Teratom ist ausgesprochen schlecht. Unter den 24 Fällen, die aus der Literatur bekannt sind [1, 5 ± 7, 9, 10, 12, 14, 15, 18, 20 ± 23, 26 ± 30], verstarben 9 Kinder unmittelbar post partum oder wurden bereits tot geboren [5,6,10,15,20,23,27]. Ein Überleben von mehreren Jahren nach operativer Entfernung eines oropharyngeal-intrakraniellen Teratoms ist nur in 7 Fällen dokumentiert [1,7,12,14,18,26].…”

Section: Diskussionunclassified

“…Folge haben [5,6,10,15,20,23,27]. Eine potenziell letale Komplikation lebend geborener Säuglinge mit oropharyngealen Teratomen besteht in der Verlegung der Atemwege des Neugeborenen unmittelbar post partal.…”

Section: Introductionunclassified

Teratom der Schädelbasis bei einem Neugeborenen: Verlaufsbeschreibung einer interdisziplinären Behandlung

Kuettner

Samii²,

Brachvogel³

et al. 2003

Zentralbl Neurochir

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Teratomas of the oropharynx are quite rare congenital tumors. Even more rare than oropharyngeal teratomas are those with additional intracranial extension. Reviewing the literature the prognosis of these cases has been poor. In the majority stillbirth or immediate postpartum death following respiratory obstruction is reported. We present a case of a congenital teratoma of the oral cavity with intracranial extension in a female neonate. After several intraoral tumor resections to establish secure airway in the postpartum period the total tumor resection had to be performed at the age of 6 month via a lateral transmandibular approach to the skull base. By using extraoral distaction devices the operation related microsomia of the mandible could be corrected at the age of 5 years. At 7 years follow-up the girl presented free of recurrence and without any neurological or functional deficits.

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“…All of these cases were tera tomas, and all were diagnosed in the third trimester. In one case, the fetus was stillborn at 31 weeks, and the other 3 infants died in the immediate neonatal period [14][15][16][17],…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Fetal Brain Tumors

Alvarez

Chitkara²,

Lynch³

et al. 1987

Fetal Diagn Ther

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Two cases of congenital brain tumors were detected during routine antepartum sonography at the Mount Sinai Medical Center Perinatal Ultrasound Unit. In both cases, diagnosis was made during the third trimester at 31 and 33 weeks, respectively. In one of these patients, no intracranial abnormalities were noted on a sonogram performed in conjunction with genetic amniocentesis at 18 weeks gestation. The histologic diagnosis of both tumors was glioblastoma multiforme grade III. Previous reports describing the prenatal sonographic diagnosis of intracranial tumors have been in cases with fetal intracranial teratomas.

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Intracranial teratoma: Antenatal diagnosis at 31 weeks' gestation by ultrasound

Cited by 31 publications

References 13 publications

Prenatal diagnosis of a craniopharyngioma using ultrasonography and magnetic resonance imaging

Prenatal diagnosis of a craniopharyngioma using ultrasonography and magnetic resonance imaging

Teratom der Schädelbasis bei einem Neugeborenen: Verlaufsbeschreibung einer interdisziplinären Behandlung

Prenatal Diagnosis of Fetal Brain Tumors

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