By Ritsuko K. Pooh

Complex imaging applied sciences akin to transvaginal sonography, 3D know-how, and MRIs have unfolded a brand new period within the prenatal analysis and administration of important apprehensive process (CNS) abnormalities. An Atlas of Fetal valuable anxious process illness: analysis and administration comprises over a hundred photos of congenital CNS anomalies and mind accidents in utero. It covers the way to use complex neuroimaging applied sciences for actual CNS analysis and obstetrical administration, presents certain illustrations of the tactics for postnatal neurosurgical administration, and is helping resolution questions on the timing of mind insult in utero and in cerebral palsy.

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Extra info for An Atlas of Fetal Central Nervous System Disease: Diagnosis and Management

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Pooh CRANIAL BONE The calvaria and its major sutures develop between 12 and 18 weeks of fetal life, with dura as guiding tissue in the morphogenesis of the skull 1 . 2 demonstrate the early fetal skull structure by two- and three-dimensional ultrasound. At 12 weeks, premature cranial bones and the sutures in between are detectable. The sagittal suture, lamboid sutures and posterior fontanelle are recognizable from 13 weeks. The diamond-shaped anterior fontanelle can be demonstrated after 15 weeks of gestation.

Circle of Willis (W) and middle cerebral arteries (MCA) are demonstrated. Middle, coronal image. Internal carotid arteries (ICA) and branches of the middle cerebral arteries are visible. Right, sagittal image. 26 Normal cerebral venous circulation. Left, sagittal image of color Doppler. SSS, superior, sagittal sinus; ICV, internal cerebral vein; G, vein of Galen; SS, straight sinus. Right, normal blood flow waveforms of dural sinuses.

Neonatal periventricular leukomalacia preceded by fetal periventricular echodensity. Fetal Diag Ther 2000; 15:198–208 22. Levine D. Magnetic resonance imaging in prenatal diagnosis. Curr Opin Pediatr 2001;13:572–8 23. Huisman TA, Wisser J, Martin E, et al. Fetal magnetic resonance imaging of the central nervous system: a pictorial essay. Eur Radiol 2002;12:1952–61 24. Ertl-Wagner B, Lienemann A, Strauss A, et al. Fetal magnetic resonance imaging: indications, technique, anatomical considerations and a review of fetal abnormalities.

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