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Second‐trimester diagnosis of intracranial vascular anomalies in a fetus with subdural hemorrhage
Author(s) -
Strigini Francesca A. L.,
Nardini Vincenzo,
Carmignani Arianna,
Valleriani Anna Maria
Publication year - 2004
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.786
Subject(s) - medicine , subdural hemorrhage , fetus , intracranial hemorrhages , intraventricular hemorrhage , vascular disease , obstetrics , pregnancy , subarachnoid hemorrhage , radiology , hematoma , surgery , gestational age , biology , genetics
Objectives Risk factors for intracranial hemorrhage occurring in prenatal life are imperfectly known. A case of prenatal diagnosis of subdural hemorrhage associated with multiple intracranial vascular aneurysms is described. Methods Sonography and magnetic resonance imaging of the fetal head were obtained at 21 weeks' gestation and compared with pathologic findings. Results Sonography showed a large transonic mass displacing the normal intracranial structures. Magnetic resonance imaging demonstrated the hemorrhagic origin of the mass and showed multiple vascular anomalies. Postmortem examination confirmed the compression of the cerebral hemisphere by a blood collection, probably because of bleeding from one of the multiple vascular aneurysms into the subdural space. Conclusion Magnetic resonance imaging with the use of single‐shot ultrafast sequences may be useful not only in the differential diagnosis of fetal intracranial hemorrhage but also in identifying vascular risk factors. Copyright © 2003 John Wiley & Sons, Ltd.