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Clinical outcomes following prenatal diagnosis of asymmetric ventriculomegaly, interhemispheric cyst, and callosal dysgenesis (AVID)
Author(s) -
Oh Karen Y.,
Gibson Thomas J.,
Pinter Joseph D.,
Pettersson David,
Shaffer Brian L.,
Selden Nathan R.,
Sohaey Roya
Publication year - 2019
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.5393
Subject(s) - ventriculomegaly , dysgenesis , medicine , corpus callosum , prenatal diagnosis , corpus callosum agenesis , agenesis of the corpus callosum , cohort , holoprosencephaly , hydrocephalus , pediatrics , pregnancy , fetus , radiology , anatomy , pathology , genetics , biology
What's already known about this topic? Fetal ventriculomegaly can be isolated or be a component of structural brain anomaly. Prenatal counseling can be challenging given the variable clinical outcomes associated with fetal ventriculomegaly. When fetal ventriculomegaly is associated with a structural anomaly such as a callosal malformation, postnatal outcomes are worse than for isolated ventriculomegaly. What does this study add? When severe asymmetric ventriculomegaly is identified, an underlying callosal anomaly and midline interhemispheric cyst can be present (AVID triad). Prenatal diagnosis of the AVID triad leads to progressive severe macrocephaly in utero, which often leads to cesarean section delivery. All children in our series with prenatally diagnosed AVID required at least one and in general several neurosurgical procedures, including CSF shunting in all cases. Most of these children had at least moderate to severe motor and language delays, with a wide range of visual deficits, craniofacial abnormalities, and medical comorbidities.