Frontonasal Dysplasia: A Diagnostic Challenge with Fetal MRI in Twin Pregnancy.

Akash Virupakshaiah, Sara Reis Teixeira, Susan Sotardi, Grant Liu, Sonika Agarwal
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Abstract

Callosal agenesis is a complex condition with disruption in the steps such as cellular proliferation, migration, axonal growth, guidance, or glial patterning at the midline. Agenesis of the corpus callosum (AgCC) is associated with diverse midline craniofacial malformations affecting the frontal-cranial and midface skeleton. Diagnosing midline abnormalities prenatally can be challenging, especially in twin pregnancies, due to poor resolution of skull base structures on fetal MRI, basal cephalocele could be mistaken for fluid in the nasopharynx, motion limitation, and fetal positioning. Our case highlights the importance of evaluation for other associated midline anomalies when there is callosal agenesis.

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额鼻发育不良:双胎妊娠胎儿MRI诊断的挑战。
胼胝体发育是一种复杂的情况,在细胞增殖、迁移、轴突生长、引导或中线胶质模式等步骤中都有破坏。胼胝体发育不全(AgCC)与多种影响额颅和面中部骨骼的中线颅面畸形有关。产前诊断中线异常可能具有挑战性,特别是双胎妊娠,因为胎儿MRI对颅底结构的分辨率较差,基底头膨出可能被误认为鼻咽部积液、运动受限和胎儿体位。我们的病例强调了当胼胝体发育不全时评估其他相关中线异常的重要性。
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