Re: Fetal Head
From: art fougner, md (anonymous@obgyn.net)
Thu, 17 Dec 1998 09:57:55 -0600 (CST)
hi
if i might interject - the fetus in question seems to exhibit mild
ventriculomegaly. 10/11 mm was chosen as the upper limit based on the
old 2 std deviations above the mean by roy filly's group in san
francisco. the outcome of stable mild ventriculomegaly is usually ( but
not always) good. when identified, there needs to be a search for other
anomalies which would suggest an increased risk for abnormal karyotype,
serologic testing for infections such as CMV, and serial studies to look
for progression. genetic counseling as well as pediatric follow-up is
strongly advised. if you have any questions, please discuss this with
your obstetrician.
i do hope this helps and good luck.
a Merry and a Happy
--
Art Fougner, MD
At Wed, 16 Dec 1998, anonymous@obgyn.net wrote:
>
>In response to your question about the ventricles in the baby's brain. I do
>ultrasound and it is a routine part of the ultrasound exam to measure the
>ventricles in the brain. The reason they are doing this is to see if there is
>a blockage of the fluid that leaves the brain and circulates through the
>spinal cord. Sometimes there is a blockage of the aqueduct between the 3rd
>and 4th ventricles that cause this. The measurements that your doctor has
>gotten are barely above normal. It could be just a technical error in
>obtaining a true perpendicular cut through the ventricle. When I have seen
>this abnormality in doing ultrasound it has been obvious that there is a
>problem with hte baby's head and the ventricles were markedly increased in
>size. I did have a patient once that had ventricles that measured 11mm, and
>everything turned out fine. The one thing we must always remember is that
>nothing is 100% in medicine. Why did they make the cut off 10mm and not 12mm.
>2mm isn't very much. I think it's good that your doctor wants to recheck, but
>I would try to not stress it. Good Luck and God Bless you and your little
>one. Let me know what you find out. Audrey
--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com
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