OCCIPITAL ENCEPHALOCELE IN A FETUS

Slides:

Advertisements

Similar presentations

Quiz Fetal Medicine.

Advertisements

Subarachnoid hemorrhage

Anita Nowak, RDMS, MBA Manager, Imaging Magee-Womens Hospital of UPMC.

Female pelvis. Fetus as the object of labor

28 January 2010 Donna Kirwan National Projects Officer to Weeks Fetal Anomaly Scan National Standards for England ‘Into the next decade’

MAKING BIRTH A FULFILLING EXPERIENCE

EEdE# 76. No Disclosures Taleb Almansoori, Prasad Hanagandi, Agatha Stanek, Rafael Glikstein. The value of high resolution CT images in the evaluation.

Prenatal Testing. Introduction Tests are available during pregnancy to check the health of a baby. What conditions can be found? Down syndrome. Neural.

An ultrasound scan involves transmitting high frequency sound waves through the uterus. These bounce off the baby and the returning echoes are translated.

Assistant Professor Department of Paediatrics ANMC.

DR VIDYALEKSHMY R DGO, DNB,MRCOG. CONGENITAL ANOMALIES Real trauma to the family Diagnosed usually after 20 Weeks. 20 Weeks is the upper limit for legal.

PRENATAL DIAGNOSIS OF A LARGE PLACENTAL CYST WITH INTRACYSTIC HEMORRHAGE OB8.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Dr. Balasubramanian Thiagarajan Affiliation: Unlisted Institution.

By Marcus Turner.  Spina bifida is one of a group of birth defects known as neural tube defects.  Within 28 days after conception, a tissue called the.

US IN OBSTETRICS ANG GYNAECOLOGY Unit1-DTE 2. CEPHALOMETRY Inthis session Ultrasonic cephalometry To assess fetal gestational age. To monitor fetal growth.

84 year old woman with spells of right upper limb weakness and numbness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy.

Diagnostic Imaging Tests  MRI  CT  Ultrasound  PET scan  Mammography  X-ray.

Definition  Herniation of bowel loops & other abdominal organs through a defect in the abdominal wall w/ no associated covering /sac  Defect just to.

Spina Bifida By: Catherine Huang. Welcome! Hello and welcome! Today, I’ll show you many things about Spina Bifida. You’ll discover what it means and how.

DEVELOPMENT OF AXIAL SKELETON Dr. Ahmed Fathalla Ibrahim.

Spina bifida occulta Spinal cord Tuft of hair Skin

Congenital malformation of brain 1.Meningocele: Partial or total absence of occipital bones results in protrusion of the meninges from the brain. 2.Meningoencephalocoele:

CONGENITAL CYSTIC EYE WITH CORPUS CALLOSUM HYPOPLASIA: MRI FINDINGS Pedro S. Pinto, Valentina Ribeiro, Bruno Moreira Department of Neuroradiology Centro.

US OF THE OBSTETRIC & GYNE. MOSUL MEDICAL COLLEGE /RADIOLOGY DEPARTMENT2016.

How to image the fetal corpus callosum

Sunday Case of the Day How does the presence of the object impact patient dose? A. Increases by 20% - 50% B. Increases by 3% - 5% C. No Change D. Decreases.

Axial Skeleton Chapter 7. The Axial Skeleton Figure 7–1a.

Occipital encephalocele in a fetus at 34 postmenstrual weeks

Female With Lower Abdominal Pain and Bleeding

Spontaneous resolution of prenatally detected dural sinus thrombosis: Case series and review of the literature 1 Hoetschl, J., 1, 2 Bamfo, J. E. A. K.,

Disorders of Neural Tube Closure

OBSTETRIC ULTRASOUND TECHNIQUES FETAL AGE ESTIMATION

Developmental (Congenital) Abnormalities of the Nervous System

Antenatal Screening Rebecca Sykes.

Anencephaly BY Aline Rivas Vera.

Tests During Pregnancy

An Unusual Presentation of Synovial Chondromatosis of Hip

Wales Neonatal Society Education Day

Trisomy 20 (NON-MOSAIC) Case report

태아 초음파 검사법.

How to image the fetal corpus callosum

Neurology Resident and Fellow Section

CYSTIC ORBITAL LESIONS

Traumatic Epidural Hematoma

Dr vera amarin, Dr hazem haboob

A, B. T2-weighted images obtained coronal and sagittal to the fetal head show fluid occupying the majority of the cranial vault (arrows) and absence of.

Central Nervous System

Medical Imaging CP (2) Cystic Hygroma

Fig. 3.Lumbosacral spine magnetic resonance imaging (MRI) of 48-year-old woman who presented with low back pain. A. Sagittal T2-weighted image shows asymmetric.

Case study: Prenatal diagnosis of Fetal gingival tumour (Epulis) Roslani AL1, Ahmad S2, Ismail H3, Yusof MA4 1.Department of Obstetrics & Gynaecology,

Oudai ALI, Katja Christodoulou, Rafia Deader, Susanne Johnson

POLYHYDRAMNIOS.

Congenital Anomalies of Central Nervous System

Annual meeting Prince Charles Merthyr

A nail in the head The Lancet Volume 383, Issue 9915, (February 2014)

Female With Lower Abdominal Pain and Bleeding

Sectional Anatomy Lesson 2 Topic 1 Cranium and Facial Bones

Extracutaneous mastocytoma

BME 273 Fetal Stabilizer for Intrauterine Surgery

FETAL MEMBRANES IN HUMAN

Ch. 4.1 Notes: The Developing Baby

Identification of CC2D2A as a Meckel Syndrome Gene Adds an Important Piece to the Ciliopathy Puzzle Jonna Tallila, Eveliina Jakkula, Leena Peltonen,

An Unusual Case of Hemiplegia

Volume 72, Issue 12, (December 2007)

Mary Jane King, Grace Liu, Ontario Cancer Registry

Teaching NeuroImages Neurology Resident and Fellow Section

A 3-year-old boy with increased head circumference

Sagittal SS-FSE T2-weighted image in a 23-gestational-week-old fetus demonstrates multiple bony anomalies in the cervicothoracic region and lumbar spine.

Presentation transcript:

OCCIPITAL ENCEPHALOCELE IN A FETUS AUTHOR: DR. ASHUTOSH PATEL , 1st Year Resident. CO-AUTHORS: DR. NIRMALA CHUDASAMA, DR. HARSHAD SHAH, DR. RASESH VYAS. INSTITUTE: C. U. SHAH MEDICAL COLLEGE AND HOSPITAL, SURENDRANAGAR, GUJARAT

Clinical History: • A 26-year-old woman, primigravida, presented to our department with five months of amenorrhea for a routine antenatal check up without any previous ultrasonographic examinations. • No complaints of bleeding p/v or pain in abdomen.

y FIGURE 1 defect in the Occipital region as seen on ultrasonography. Loading…

FIGURE 2. Sagittal section, showing bony defect in occipital region, with herniation of intracranial contents.

FIGURE 3: Coronal Section shows herniation of intracranial contents.

FIGURE 4. Single largest pocket measuring 11.4 cm, with AFI 25 suggestive of Polyhydramnios.

On MRI : There is evidence of defect(shown by pink arrow) in the occipital bone, through which herniation of brain tissue (arrow head) and meninges can be seen.

Discussion: • Ultrasonographic scan shows, evidence of single viable fetus with anechoic cystic lesion herniating through a defect in the occipital region. AFI was 25 suggesting polyhydramnios. • Spine appeared normal, no evidence of any spinal anomaly seen. • Rest of the scan was normal. • Kidneys & limbs were normal, which ruled out the possibility of a commonly linked syndrome i.E. Meckel- gruber syndrome (encephalocele, polycystic kidneys, polydactyly). MRI scan shows defect in the occipital bone through which there is herniation of brain tissue and meninges .

Diagnosis: OCCIPITAL ENCEPHALOCELE • Encephalocele is characterized by a protrusion of the brain and/or meninges through a defect in the skull that is covered with skin. There is herniation of cerebral tissue and meninges. Approximately 75% are occipital, 13% frontal and 12% occur in parietal region . Rare sites are protrusions through base of skull, orbits, nose or mouth. • It is one of the most severe neural tube defects with a prevalence estimated to be 0.8 to 5/10 000 births. • Occipital encephaloceles have been diagnosed on ultrasound from about 9 weeks. After cranial ossification at 10 weeks, the skull defect and occipital sac may be demonstrated. In 30% cases there is associated spina bifida.

References: 1.Sandler MA, Beute GH, Madrazo BL, Hudak SF, Walter R, Haggar AH, Maywood CM. Ultrasound case of the day. Occipital meningoencephalocele. Radiographics 1986; Nov.6(6):1096-9. 2. Ants Toi, The fetal head and brain, Rumack : Diagnostic ultrasound 3rd edition, 2005, Volume 2, ,37:1247. 3. Shaff MI, Blumenthal B, Coetzee M: Meningoencephalocoele: prepartum ultrasonic and fetoamniographic findings. Br.J Radiol 1977 october 50:754- 757.