Prenatal and postmortem imaging findings of fetal intracranial teratoma

Konjenital intrakraniyal teratom, iyi bilinen ancak nadir bir durumdur. Doğum sonrası kısa sürede meydana gelen ölüm nedeniyle prognozu kötüdür. Teratomlar, genellikle normal intrakraniyal yapının tam kaybı ile karakterizedir. Bu yazıda, ultrasonografi ve prenatal manyetik rezonans görüntüleme ile tanı konulan ve serebral hemisferlerde yer değiştirmeye neden olan masif fetal intrakraniyal teratomlu bir olgu tanımlandı.

Fetal intrakraniyal teratomun prenatal ve postmortem görüntüleme bulguları

Congenital intracranial teratoma is a well-recognized but infrequent entity. The prognosis is poor with death usually occurring shortly after birth. Teratomas are usually characterized by complete loss of the normal intracranial architecture. In this paper, we presented a case with a massive fetal intracranial te­ratoma that replaced the cerebral hemispheres and that was initially diagnosed by ultrasonography and further eva­luated by prenatal magnetic resonance imaging.

___

  • 1. Peng SS, Shih JC, Liu HM, Li YW, Hsieh FJ. Ultrafast fetal MR images of intracranial teratoma. J Comput Assist Tomogr 1999; 23: 318-9.
  • 2. Quinn TM, Hubbard AM, Adzick NS. Prenatal magnetic resonance imaging enhances fetal diagnosis. J Pediatr Surg 1998; 33: 553-8.
  • 3. Mazouni C, Porcu-Buisson G, Girard N, Sakr R, Figarella-Ballanger D, Guidicelli B, Bonnier P, Gamerre M. Intrauterine brain teratoma: a case report of imaging (US, MRI) with neuropathologic correlations. Prenat Diagn 2003; 23: 104-7.
  • 4. Washburne JF, Magann EF, Chaukan SP. Massive congenital intracranial teratoma with skull rupture at delivery. Am J Obstet Gynecol 1995; 173: 226-8.
  • 5. Crade M. Ultrasonic demonstration in utero of an intracranial teratoma. JAMA 1982; 247: 1173.
  • 6. Isaacs H Jr. I. Perinatal brain tumors: a review of 250 cases. Pediatr Neurol 2002; 27: 249-61.
  • 7. Ulreich S, Hanieh A, Furness ME. Positive outcome of fetal intracranial teratoma. J Ultrasound Med 1993; 3: 163-5.
  • 8. Lipman SP, Pretorius DH, Rumack CM, et al. Fetal intracranial teratoma; US diagnosis of three cases and a review of the literature. Radiology 1985; 157: 491-4.
  • 9. Horton D, Pilling DW. Early antenatal ultrasound diagnosis of fetal intracranial teratoma. Br J Radiol 1997; 70: 1299-301.
  • 10. Palo P, Penttinen M, Kalimo H. Early ultrasound diagnosis of fetal intracranial tumors. J Clin Ultrasound 1994; 22: 447-50.
  • 11. Hoff NR, Mackay IM. Prenatal ultrasound diagnosis of intracranial teratoma. J Clin Ultrasound 1980; 8: 247-9.
  • 12. Im SH, Wang KC, Kim SK, Lee YH, Chi JG, Cho BK. Congenital intracranial teratoma: prenatal diagnosis and postnatal successful resection. Med Pediatr Oncol 2003; 40: 57-61.
  • 13. Sherer DM, Onyeije CI. Prenatal ultrasonographic diagnosis of fetal intracranial tumors: a review. Am J Perinatol 1998; 15: 319-28.
  • 14. Marden FA, Wippold FJ 2nd, Perry A. Fast magnetic resonance imaging in steady-state precession (true FISP) in the prenatal diagnosis of a congenital brain teratoma. J Comput Assist Tomogr 2003; 27: 427-30.
  • 15. Storr U, Rupprecht T, Bornemann A, et al. Congenital intracerebral teratoma: a rare diffe-rential diagnosis in newborn hydrocephalus. Pediatr Radiol 1997; 27: 262-4.
  • 16. Chien YH, Tsao PN, Lee WT, Peng SF, Yau KI. Congenital intracranial teratoma. Pediatr Neurol 2000; 22: 72-4.
Cumhuriyet Tıp Dergisi (ELEKTRONİK)-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Yayıncı: Cumhuriyet Üniversitesi Tıp Fakültesi