Ventriculomegalia represents pathological change in the fetus, in which there is little or significant increase in the size of the ventricles of the brain, leading to neurological disorders and diseases of the brain.
Causes and symptoms ventriculomegalia
Pathological ventriculomegaly in the fetus can be worn as an isolated character and be a defect associated with other pathologies of development. In this disease in the fetus there is a large amount of brain ventricles, reaching up to 12-20 mm.
In modern medicine, among the main causes of ventriculomegaly isolated chromosomal abnormalities are observed in 17-20% of women with abnormalities in pregnancy.
The causes ventriculomegaly can be obstructive hydrocephalus, physical trauma, infections, hemorrhage and genetic factors. Pathology is enhanced by the presence of other malformations.
Ventriculomegaly in the fetus may lead to the development of a child's Down syndrome, Turner's syndrome and Edwards. The disease affects the changes in brain structures, the heart and the musculoskeletal system.
Symptoms ventriculomegaly can be clearly identified with the help of ultrasound, and their appearance is noticeable at 20-23 weeks of gestation. In some cases, the pathology is fixed at the beginning of the third trimester of pregnancy, the best period of diagnosis and detection of symptoms is 25-26 weeks.
If the unit is ventriculomegaly pathology of the fetus, then the probability of serious violations of chromosomes is low. The attending physician determines the risk of diseases of the brain of the child in accordance with the increase in the width of the ventricles.
Medical studies have found that the risk of ventriculomegaly is high among pregnant women aged 35 years (incidence of 0, 5-0, 7%), and young pregnant women is considerably reduced.
In pediatrics, there are three main types of ventriculomegaly:
- heavy type with the presence of large increases in the ventricles of the brain of the fetus or newborn, as well as combined with other abnormalities of the brain;
- medium type with increasing ventricular up to 15 mm, and small changes in the outflow of cerebrospinal fluid;
- light type, which has a unit and does not require serious treatment.
Diagnosis of the disease
Ventriculomegaly diagnosed during pregnancy (17 to 33 weeks) with the help of ultrasound and spectral karyotyping fetus. Perinatal survey should include the study of anatomical structures of the fetus, especially the ventricular system of the brain.
In order to establish an accurate diagnosis is carried out transverse scan of the head of the fetus to the definition of the threshold of the lateral ventricles of the brain. Ventriculomegalia ventricles determined by the amount of more than 10 mm.
The main treatment ventriculomegalia aimed at preventing the effects of this disease, which may be severe diseases of the brain and central nervous system.
The pediatrician and neurologist as medication prescribed reception antihypoxants, diuretics and vitamins.
For the treatment of ventriculomegaly prescribed massage and physiotherapy exercises (exercises with static loads on the pelvic muscles and pelvic floor).
As medicaments intended to prevent the development of the child neurological disorders, administered medications, aimed at holding body potassium.