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Prenatal diagnosis of hydranencephaly: a clinical case

https://doi.org/10.24835/1607-0771-269

Abstract

Hydranencephaly is a rare abnormality of the central nervous system (CNS) of the fetus,  in which the  cerebral hemispheres are absent and replaced with cerebrospinal fluid, while the structures of the posterior fossa, thalami and falx cerebri remains normal. The ischemic, hemorrhagic complications, infection of the fetus, the toxic effects of carbon monoxide, butane and genetic abnormalities are potential causes of a hydranencephaly development. The article presents  the modern data on the possible causes of the hydranencephaly development, and clinical case of prenatal ultrasound diagnosis of hydranencephaly at 28–29 weeks of gestation, highlighting a specific ultrasound signs of this pathology. The management strategy and  genetic testing recommendations are described. The difficulties of differential diagnosis and the key signs of similar disorders are discussed, as well as recommendation for future pregnancy planning.

About the Authors

E. Yu. Andreeva
L.A. Vorohobov City Clinical Hospital No. 67
Russian Federation

Elena Yu. Andreeva – ultrasound specialist of Ultrasound and Prenatal Diagnostics Department of the Perinatal Centre of L.A. Vorohobov City Clinical Hospital No. 67, Moscow



D. S. Bokieva
L.A. Vorohobov City Clinical Hospital No. 67
Russian Federation

Daria S. Bokieva – Head of Ultrasound and Prenatal Diagnostics Department of the Perinatal Centre of L.A. Vorohobov City Clinical Hospital No. 67, Moscow



M. M. Bulanova
Lomonosov Moscow State University
Russian Federation

Maria M. Bulanova – PhD student of the Department of Obstetrics and Gynecology of Faculty of Fundamental Medicine, Lomonosov Moscow State University, Moscow



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Andreeva E.Yu., Bokieva D.S., Bulanova M.M. Prenatal diagnosis of hydranencephaly: a clinical case. Ultrasound & Functional Diagnostics. 2024;(2):63-71. (In Russ.) https://doi.org/10.24835/1607-0771-269

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ISSN 1607-0771 (Print)
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