AI Article Synopsis

  • Diagnosing fetal spinal dysraphism is complicated due to challenges in differentiating between conditions like meningocele, myelomeningocele, and limited dorsal myeloschisis (LDM).
  • Although myelomeningocele often has a poor prognosis, LDM can lead to positive outcomes.
  • A case study shows how fetal MRI was crucial in accurately diagnosing LDM after initial misinterpretation as meningocele based on ultrasound findings, emphasizing the need for precise imaging to avoid management errors in prenatal care.

Article Abstract

Diagnosis of fetal spinal dysraphism is a challenge. It is difficult to distinguish between a meningocele, myelomeningocele, and a recently described entity called limited dorsal myeloschisis (LDM). Although myelomeningocele is associated with a poor prognosis, LDM can have a good outcome. We present a case of prenatally diagnosed LDM. Because sonographic examination revealed a round, cystic, septated cervical mass without associated cerebral anomalies, the lesion was initially considered an isolated meningocele. Fetal MRI contributed to correct the diagnosis. A diagnostic error can lead to the wrong surgical support or even the termination of pregnancy. Therefore, we highlight the importance of fetal MRI in such cases, particularly when no cerebral abnormalities are observed on sonographic examination.

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Source
http://dx.doi.org/10.1002/jcu.22527DOI Listing

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