Persistent Extreme Hyperextension of the Fetal Neck: Clinical and Neuroimaging Findings

Shrot, Shai; Johnson, Clark T.; Golden, William; Baschat, Ahmet; Bullard, Janine; Tekes, Aylin; Poretti, Andrea; Dunn, Emily; Huisman, Thierry A.G.M.

doi:10.1111/jon.12499

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…37 Detailed, high-resolution fetal MRI may serve as a valuable secondary imaging modality for clinical decision-making regarding management of pregnancy, in utero therapy, mode of delivery, and postnatal care. 38…”

Section: Magnetic Resonance Imaging and Fetal Surgerymentioning

confidence: 99%

Current Status and Future Prospects of Magnetic Resonance Imaging in Perinatal Medicine

Nawapun¹,

Phithakwatchara²,

Wataganara³

et al. 2018

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Fetal magnetic resonance imaging (MRI) has become an important adjuvant to high-quality ultrasound once fetal structural anomaly is identified. There are recently developed advanced techniques such as provision of volumetric data, spectroscopy, and functional MRI. Changes in local susceptibility caused by blood breakdown products, echo-planar imaging (EPI) sequences [i.e., diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC)] are especially sensitive to hemorrhage and edema. These novel sequences are particularly useful for assessment of fetal ischemic and hemorrhagic brain lesions. Prenatal MRI has been increasingly adopted in assessment and follow-up after in utero surgeries of twin-twin transfusion syndrome, congenital diaphragmatic hernia, lower urinary tract obstruction, and myelomeningocele. Development of guidelines to better define the role of fetal MRI in relation to prenatal diagnostic ultrasound can reduce the variation of sequence protocols, magnetic field intensity, as well as the use of gadolinium performed in different centers. Novel sequences may be used for research purposes, but safety concerns of obstetric MRI cannot be overlooked. The current utilities and future prospects of MRI in perinatal medicine are updated in this article.

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Section: Magnetic Resonance Imaging and Fetal Surgerymentioning

confidence: 99%

Current Status and Future Prospects of Magnetic Resonance Imaging in Perinatal Medicine

Nawapun¹,

Phithakwatchara²,

Wataganara³

et al. 2018

Donald School Journal of Ultrasound in Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

Expanding the spectrum of congenital myopathies: prenatal onset with extreme hyperextension of the neck

et al. 2020

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Ultrasonographic evidence of persistent hyperextension of the fetal neck: is it a true sign? A diagnostic and prognostic challenge

Pellegrino

Lombisani

Lanzone

et al. 2020

The Journal of Maternal-Fetal & Neonatal Medicine

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Persistent Extreme Hyperextension of the Fetal Neck: Clinical and Neuroimaging Findings

Abstract: Detailed, high-resolution fetal MRI may serve as a valuable secondary imaging modality for clinical decision making regarding management of pregnancy, in utero therapy, mode of delivery, and postnatal care.

Cited by 3 publications

References 23 publications

Current Status and Future Prospects of Magnetic Resonance Imaging in Perinatal Medicine

Current Status and Future Prospects of Magnetic Resonance Imaging in Perinatal Medicine

Expanding the spectrum of congenital myopathies: prenatal onset with extreme hyperextension of the neck

Ultrasonographic evidence of persistent hyperextension of the fetal neck: is it a true sign? A diagnostic and prognostic challenge

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