casestudy

Fetal Spine Abnormalities



1. Spina Bifida

  • non-visualisation of cisterna magna
  • deformation of cerebellum (banana sign)
  • concave frontal bones (lemon sign)
  • dilation of lateral ventricles
  • chiari II malformation (97%)
  • Biparietal diameter (BPD) lower than expected




  

(a) Myelomeningocele

  • cystic mass protruding from spinal canal
  • cystic mass wall composed of thin arachnoid membrane without skin covering
  • occasionally covered with skin: closed defect
  • without skin covering: open defect


(b) Meningocele

  • Protruding cystic mass contains only CSF and no neural elements





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