|
|
||||||||
Radiology, Vol 192, 247-251, Copyright © 1994 by Radiological Society of North America
ARTICLES |
FC Laing, MC Frates, DL Brown, CB Benson, DN Di Salvo and PM Doubilet
Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115.
PURPOSE: To establish that incorrect scanning of the fetal posterior fossa may falsely create the appearance of a mega-cisterna magna (MCM) or Dandy-Walker variant (DWV). MATERIALS AND METHODS: After routine sonography, 100 consecutive fetuses (gestational age range, 25-40 weeks) without abnormality underwent additional posterior fossa scanning in an attempt to create the appearance of an MCM (anteroposterior diameter larger than 10 mm) or DWV. Sonograms were obtained in a plane inferior to or angled more coronally than the routine axial plane. RESULTS: The posterior fossa was depicted in 93 fetuses. Pseudo-MCM occurred in 35 (38%) of 93 fetuses: 12 (30%) of 40 fetuses aged 25.0-29.9 weeks, 11 (50%) of 22 fetuses aged 30.0-34.9 weeks, and 12 (39%) of 31 fetuses aged 35.0-40.0 weeks. Pseudo-DWV occurred in 40 (43%) of 93 fetuses: 20 (50%) of 40 fetuses aged 25.0- 29.9 weeks, 12 (55%) of 22 fetuses aged 30.0-34.9 weeks, and eight (26%) of 31 fetuses aged 35.0-40.0 weeks. CONCLUSION: Sonography of the posterior fossa in an angled semi-coronal plane should be avoided because it may create an appearance that mimics an abnormality.
This article has been cited by other articles:
![]() |
C. Limperopoulos, R. L. Robertson Jr., O. S. Khwaja, C. D. Robson, J. A. Estroff, C. Barnewolt, D. Levine, D. Morash, L. Nemes, L. Zaccagnini, et al. How Accurately Does Current Fetal Imaging Identify Posterior Fossa Anomalies? Am. J. Roentgenol., June 1, 2008; 190(6): 1637 - 1643. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. Goldstein, I. R. Makhoul, A. Tamir, B.-S. Rajamim, and D. Nisman Ultrasonographic Nomograms of the Fetal Fourth Ventricle: Additional Tool for Detecting Abnormalities of the Posterior Fossa J. Ultrasound Med., August 1, 2002; 21(8): 849 - 856. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Tsao, N. A. Chuang, R. A. Filly, A. J. Barkovich, and R. B. Goldstein Entrapped Fourth Ventricle: Another Pitfall in the Prenatal Diagnosis of Dandy-Walker Malformations J. Ultrasound Med., January 1, 2002; 21(1): 91 - 96. [Full Text] [PDF] |
||||
![]() |
D. N. Di Salvo A New View of the Neonatal Brain: Clinical Utility of Supplemental Neurologic US Imaging Windows RadioGraphics, July 1, 2001; 21(4): 943 - 955. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. M. Simon, R. B. Goldstein, F. V. Coakley, R. A. Filly, K. C. Broderick, T. J. Musci, and A. J. Barkovich Fast MR Imaging of Fetal CNS Anomalies in Utero AJNR Am. J. Neuroradiol., October 1, 2000; 21(9): 1688 - 1698. [Abstract] [Full Text] |
||||
![]() |
M. M. Stazzone, A. M. Hubbard, L. T. Bilaniuk, M. P. Harty, J. S. Meyer, R. A. Zimmerman, and S. Mahboubi Ultrafast MR Imaging of the Normal Posterior Fossa in Fetuses Am. J. Roentgenol., September 1, 2000; 175(3): 835 - 839. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. A. Luna and R. B. Goldstein Sonographic Visualization of Neonatal Posterior Fossa Abnormalities Through the Posterolateral Fontanelle Am. J. Roentgenol., February 1, 2000; 174(2): 561 - 567. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |