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Ultrasound and MRI appearance and evolution of hydranencephaly in utero: a case report.

机译:子宫内超声和核磁共振图像的出现和眼汗的演变:一例报告。

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BACKGROUND: Hydranencephaly is the total or near-total destruction of the cerebral cortex and basal ganglia. The thalami and lower brain centers are typically preserved. This condition is usually preceded by occlusion of the internal carotid arteries, resulting in massive brain infarction. CASE: An 18-year-old woman, gravida 1, presented with a 1-day history of heavy vaginal bleeding at 23 weeks' gestation. Initial ultrasound revealed oligohydramnios and retroplacental lucency consistent with placental abruption. A follow-up level II ultrasound revealed abnormal intracerebral architecture. Subsequent ultrasounds and magnetic resonance imaging (MRI) revealed an evolving case of hydranencephaly. Postdelivery computed tomography verified the prenatal findings. CONCLUSION: Ultrasound and MRI are useful radiologic studies to confirm the diagnosis of hydranencephaly.
机译:背景:水肿是大脑皮质和基底神经节的全部或几乎全部破坏。丘脑和下脑中枢通常被保留。这种情况通常在颈内动脉闭塞之前发生,导致大量脑梗塞。案例:一名18岁女性,妊娠1天,在妊娠23周时有1天严重阴道出血史。最初的超声检查显示羊水过少和胎盘后透明,与胎盘早剥一致。后续的II级超声检查显示脑结构异常。随后的超声检查和核磁共振成像(MRI)揭示了不断发展的眼汗症。产后计算机断层扫描证实了产前检查结果。结论:超声和核磁共振成像是有用的放射学研究,可用于确定脑性汗道的诊断。

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