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Difficult early sonographic diagnosis of absence of the fetal septum pellucidum
Author(s) -
Pilu G.,
Tani G.,
Carletti A.,
Malaigia S.,
Ghi T.,
Rizzo N.
Publication year - 2005
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.1786
Subject(s) - septum pellucidum , medicine , lateral ventricles , anatomy , fetus , atrial septum , dysplasia , pathology , surgery , pregnancy , biology , genetics
Standard sonographic views of the brain obtained along the axial planes at mid‐gestation failed to identify absence of the septum pellucidum in two consecutive fetuses. It was presumably the close proximity of the walls of the lateral ventricles that generated an artifact resembling a normal cavum septi pellucidi. In one of these fetuses, septo‐optic dysplasia was confirmed by magnetic resonance demonstration of hypoplastic optic tracts. In the other fetus, isolated absence of the septum pellucidum was the final diagnosis. Standard axial scans are unreliable in predicting absence of the septum pellucidum in the mid‐trimester fetus when the lateral ventricles are normal in size. Copyright © 2004 ISUOG. Published by John Wiley & Sons, Ltd.