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- W2754227517 abstract "Congenital arachnoid cysts are an accumulation of cerebrospinal fluid between the dura and the cerebral cortex. They appear as hypoechoic lesions on prenatal ultrasound, most frequently on the surface of the brain or in the main cerebral fissures. We report a case of arachnoid cyst in a 28 y.o G1P0 woman who was referred for a fetal intracerebral cystic formation at 35 weeks. An ultrasound in our tertiary care centre at 36 weeks of gestation described a 60mm inter-hemispheric and temporal arachnoid cyst. A fetal MRI confirmed the diagnosis and the arachnoid cyst measured 58x64mm and was located in the suprasellar space and in the left temporal fossa. A unilateral ventriculomegaly and a posterior shift of the cerebral stem were associated, but the gyration was normal and there were no signs of hemorrhage. The biparietal diameter measured 93 mm, corresponding to the 97th centile for gestational age. An elective Caesarean section was planned at 39 weeks because of the increased head circumference but was done earlier at 38 weeks after premature rupture of membranes. The baby boy weighted 3000g and Apgar score was 9-9-9. No neonatal resuscitation was needed. Cardiorespiratory monitoring was performed in the first 24 hours of life in case of apnea or desaturation episodes. The newborn's physical and ophthalmologic examinations were normal, with no sign of increased intracranial pressure. Head perimeter was 35.5 cm. Neurologic evaluation suggested good prognosis as fetal outcome does not correlate to the cyst's size when isolated. Arachnoid cysts can potentially cause neurological deficit by compression of normal cerebral substance and obstruction of cerebrospinal fluid flow. Postnatal imaging by ultrasound and MRI as well as long-term neurologic evaluation are needed." @default.
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- W2754227517 date "2017-09-01" @default.
- W2754227517 modified "2023-10-14" @default.
- W2754227517 title "EP01.11: A case of large prenatally diagnosed arachnoid cyst" @default.
- W2754227517 doi "https://doi.org/10.1002/uog.18320" @default.
- W2754227517 hasPublicationYear "2017" @default.
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