Agenesis of Corpus Callosum in a Fetus at 22 Weeks: Role of MRI Based Scoring and MR Tractography in Clinical Decision Making

Pub Date : 2024-07-22 DOI:10.1055/s-0044-1788300
N. Ghonge
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Abstract

A 32 year old woman at 22 weeks gestation underwent fetal magnetic resonance imaging (MRI) after an ultrasound detected corpus callosum agenesis. MRI confirmed complete agenesis and showed an enlarged left temporal lobe, moderate ventriculomegaly, and abnormal hippocampal orientation. The fetal MRI scoring system indicated a poor prognosis. MR tractography revealed abnormal neuronal connections. Parents were counseled and the pregnancy was terminated due to poor prognosis. This case highlights the value of fetal MRI and tractography in assessing agenesis of the corpus callosum and guiding clinical decisions.
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22周胎儿胼胝体缺失:基于 MRI 的评分和 MR Tractography 在临床决策中的作用
一名 32 岁女性在妊娠 22 周时接受了胎儿磁共振成像(MRI)检查,因为超声波检查发现胼胝体发育不全。核磁共振成像证实胼胝体完全缺失,并显示左侧颞叶增大、中度脑室肥大和海马定向异常。胎儿核磁共振成像评分系统显示预后不良。磁共振成像显示神经元连接异常。由于预后不良,父母接受了咨询并终止了妊娠。本病例强调了胎儿磁共振成像和束流成像在评估胼胝体发育不全和指导临床决策方面的价值。
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