Case: 03
Category: Ante-natal Counseling
2017-05-17 10:34:21
Antenatal unilateral Ventriculomegaly
32 weeks gestation with dilated ventricle left lateral ventricle 13mm and right lateral ventricle 11mm , no spinal abnormity ,TORCH serology negative, how to Proceed?
Description
Preterm delivered because they thought child needs urgent treatment
Child was delivered at 36weeks Anterior frontanelle lax head circumference 33cms
Discussions
1 Antenatally Very important to see biparietal diameter and head circumference.we cannot comment on single report unless we have serial scan to see the rate of change
2 Mild Unilateral ventriculomegaly,If no other associated malformations, it is usually benign. Though almost 20% can have mild IQ deficit so require serial developmental milestones charting
Moral of Story
1 Do not panic just on usg report
2 Look for appropriate biparietal diameter and head circumference
3 Not all dilation of ventricle are bad