Huseyin BOZKURT, Tahsin TAKCİ, Serife Ozlem GENC, Begum KURT, Ali CETİN, Savas KARAKUS

Analysis of cases diagnosed with fetal intracranial anomalies of a tertiary care center

Amaç: Amacımız, son 10 yıl içerisinde, üçüncü basamakta fetal intrakranyal anomali tanısı konan olguların perinatal özelliklerinin değerlendirilmesidir. Yöntem: Çalışma, kesitsel olarak gebelik haftası 11 ve 33 hafta arasında olan fetal beyin anomalileri saptanan 59 gebeden oluşmakta idi. Veriler arşivden toplandı. Bundan sonra intrakranyal anomaliler alt tiplere ayrılarak görülme sıklıkları belirlendi. Toplanan değişkenlerin tanımlayıcı istatistikleri hesaplandı. Bulgular: 59 olgunun, gebelik haftasının ortalama 19.3 ± 5.4 hafta olduğu tespit edildi. Olguların% 18.sında karyotip anormalliği tespit edildi. Çalışmamızda en sık görülen intrakranyal anomaliler ventrikülomegali (% 35.6), Arnold chiari malformasyonu (% 20.3) ve ensefalosel (% 20.3) idi. Sonuç: Erken gebelik haftasında tanının zorluklarına rağmen, gestasyonel yaşın 24 haftasından önce fetal beyin anomalilerine doğru tanı konma oranı yüksekti. Kadın Hastalıkları ve doğum, pediatri, genetik, nöroşirürji ve radyoloji bölümlerini içeren multidisipliner bir yaklaşım, perinatal teşhis için çok önemlidir.

Üçüncü basamak bir sağlık kuruluşunda fetal intrakraniyal anomali saptanan olguların analizi

Objective: Our aim is to evaluate the analysis of perinatal characteristics of cases diagnosed with fetalintracranial anomaly of tertiary care center over the last 10 years.Method: A cross-sectional study of 59 pregnant women diagnosed with fetal brain anomalies between11 and 33 weeks of gestational age (GA). The data were collected from the archive. After that,intracranial anomalies were divided into subtypes and how often they are seen. Descriptive statisticsof collected variables were calculated.Results: 59 cases were diagnosed with an average of 19.3 ± 5.4 weeks of gestational age. Karyotypeabnormality was detected in 18.6% of cases. The most common intracranial anomalies in our studywere ventriculomegaly (35.6%), Arnold Chiari malformation (20.3%) and encephalocele (20.3%).Conclusions: Despite the challenges of early gestation, accuracy in diagnosing and counseling tofamily for fetal brain anomalies before 24 weeks' GA was high. A multidisciplinary approachinvolving pediatrics, genetics, and neurosurgery, radiology, and obstetrics and gynecologydepartments is crucial for counseling on perinatal diagnosis.

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