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Peter J. Dempsey, MD, and Henry J. Koch,MD Recent reports have demonstrated the ability of sonography to detect the sequelae of intracranial hemorrhage or document the presence of congenital intracranial abnormalities, such as a Dandy-Walker cyst, in the There have also been case reports of the prenatal sonographic diagnosis of an extra-axial posterior fossa cyst3 and hydranencephaly .4 To our knowledge, the specific in utero diagnosis of the Dandy-Walker syndrome as distinct from an extra-axial posterior fossa cyst has not been previously reported. CASE REPORT A 31-yr-old woman, gravida 2, para 1,with a previous normal pregnancy and a negative family history for genetic abnormalities, was referred for a sonogram at 28-wk' menstrual dates because of a decreasing uterine growth rate. Her pregnancy had been uneventful until that time, except for a mild upper respiratory illness at 12-wk' menstrual dates. The sonogram demonstrated a single vertex fetus with a normal-appearing, anterior placenta. The uterus was small for 28-wk, as confirmed by total intrauterine volume of 1674 ml. This was explained by a small fetal body as confirmed by measurements of the abdominal circumference. The principle sonographic finding, however, was the appearance of the fetal brain. Figs 1through 4 are
Journal of Clinical Ultrasound – Wiley
Published: Sep 1, 1981
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