Open AccessSpina Bifida—Ultrasonographic Diagnosis in First and Second Trimesters
Author(s) -
Laura Sarno,
Gabriele Saccone,
M. Di Cresce,
Pasquale Martinelli,
Giuseppe Maria Maruotti
Publication year - 2017
Publication title -
donald school journal of ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.162
H-Index - 16
eISSN - 0975-1912
pISSN - 0973-614X
DOI - 10.5005/jp-journals-10009-1541
Subject(s) - spina bifida , medicine , ultrasound , prenatal diagnosis , first trimester , obstetrics , perinatal mortality , third trimester , fetus , pregnancy , pediatrics , radiology , genetics , biology
Accurate and timely prenatal diagnosis of spina bifida (SB) is a major challenge of actual antenatal care. The diagnosis of spina bifida may be only suspected during I trimester because the detection rate of intracranial traslucency is 50%; the final diagnosis is made in the II trimester by direct visualization of defect of spine or the presence of myelomeningocele or the visualization of indirect signs. When a spine defect is detected it is necessary a neurosurgical counseling with the patient .The degree of handicap and the survival rate depend on the level of injury, the size of the defect, and the presence of associated anomalies. In tertiary fetal medicine centers, two-dimensional (2D) and three-dimensional (3D) ultrasound allows an accurate determination of the location, type, extention of the defect. Maternal—fetal surgery for myelomeningocele repair must be offered to carefully selected patients even if there are significant maternal implications and complications How to cite this article Sarno L, Saccone G, Di Cresce M, Martinelli P, Maruotti GM. Spina Bifida—Ultrasonographic Diagnosis in First and Second Trimesters. Donald School J Ultrasound Obstet Gynecol 2017;11(4):341-346.