Fetal MRI in Myelomeningocele in the evaluation and prognosis of long-term outcome
- Hadjidekov1, M. Yankova
Myelomeningoceles and myeloceles are the most common fetal spinal anomalies, accounting for 85% of all spinal dysraphisms. Parallel to prenatal ultrasound (US), fetal magnetic resonance imaging (MRI) is able to identify additional spinal cord anomalies in 10% of cases conducted for evaluation of sonographically detected spinal anomalies in fetuses. In our case, we present the confirmatory and additions role that fetal MRI plays in the assessment and further management of pregnancy and postnatal surgery. This rapidly advanced technique is helpful adjunct to ultrasonography in the detection of complex spinal anomalies and in the prenatal diagnosis of neural tube defects (NTD). The diagnostic difficulties in such cases are determined by the optional diagnosis with spina bifida. The prognosis is dependent from the variabilities of the encountered defects which make the consultation of those fetuses challenging.
Key words: PRENATAL MRI. PRENATAL US. FETAL NEURAL TUBE DEFECTS (NTD). MYELOMENINGOCELE