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Suggest Treatment For Mild Fetal Ventriclemegoly
Posted on
Wed, 29 Oct 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 29 Oct 2014
Answered on
Fri, 21 Nov 2014
Last reviewed on
Question : I have a two month old baby girl. When I was pregnant, she was diagnosed with mild fetal ventriclemegoly. It was stable weeks 18 thru 30 when I delivered. They have continued to monitor, and is am scared because they can't rule out aquaductal stenosis. Is there a general prognosis for babies who get prompt treatment
Brief Answer:
Good question
Detailed Answer:
before we talk about this question there are a couple of details I need first
-what is your baby's head circumference?
-are the sutures dilated?
-are the surgeons talking about drains or shunts?
- have the neurologists said whether the spinal tone is normal or floppy
-Is your baby feeding?
Good question
Detailed Answer:
before we talk about this question there are a couple of details I need first
-what is your baby's head circumference?
-are the sutures dilated?
-are the surgeons talking about drains or shunts?
- have the neurologists said whether the spinal tone is normal or floppy
-Is your baby feeding?
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi
Not sure I have all the info but I have some. Her head circumference is 36.25 cm. She was born on 8/13 but was only 30 weeks, she is a twin, she was 40 weeks on 10/21...not sure if you adjust for preemie when looking a head size
She had several MRIs in the hospital that said her condition with the ventricles was stable, I don't know about the sutures, No one has mentioned drains or shunts to me, she was in hospital NICU for 10 weeks and they just said I had to follow up with neurologist but no action was needed when she was in the hospital
She had a spinal MRI which was normal, she also has a sacral dimple which is maybe why they did the MRI?
She eats like a champ....born at 2 lbs 9 oz and is crusing towards 8 lbs...
on another note, she arches her back quite a bit, more when eating, I have read this is a sign of cerebal pulsy, is that correct?
Not sure I have all the info but I have some. Her head circumference is 36.25 cm. She was born on 8/13 but was only 30 weeks, she is a twin, she was 40 weeks on 10/21...not sure if you adjust for preemie when looking a head size
She had several MRIs in the hospital that said her condition with the ventricles was stable, I don't know about the sutures, No one has mentioned drains or shunts to me, she was in hospital NICU for 10 weeks and they just said I had to follow up with neurologist but no action was needed when she was in the hospital
She had a spinal MRI which was normal, she also has a sacral dimple which is maybe why they did the MRI?
She eats like a champ....born at 2 lbs 9 oz and is crusing towards 8 lbs...
on another note, she arches her back quite a bit, more when eating, I have read this is a sign of cerebal pulsy, is that correct?
Brief Answer:
Sounds like your kid is doing just fine
Detailed Answer:
the head circumference is normal so the pressure isn't building up in his head. this is the main issue with spinal stenosis. in and of itself spinal stenosis is not dangerous so the diagnosis at this time doesn't matter. the increased pressure from a dysfunctional drainage system is the issue. sometimes we see adults diagnosed with aqueductal stenosis as adults who were totally normal until they had an MRI or ct for another reason and found to have aqueductal stenosis. the high pressure is the dangerous component which is why the neurologist will measure the head circumference. in a young child before the sutures fuse the head size grows as the pressure increases. the symptoms are usually drowsiness and decreased alertness. cerebral palsy is the term given for a stroke at or before birth and only shows up as the child begins to move around. this should have been diagnosed by MRI
Sounds like your kid is doing just fine
Detailed Answer:
the head circumference is normal so the pressure isn't building up in his head. this is the main issue with spinal stenosis. in and of itself spinal stenosis is not dangerous so the diagnosis at this time doesn't matter. the increased pressure from a dysfunctional drainage system is the issue. sometimes we see adults diagnosed with aqueductal stenosis as adults who were totally normal until they had an MRI or ct for another reason and found to have aqueductal stenosis. the high pressure is the dangerous component which is why the neurologist will measure the head circumference. in a young child before the sutures fuse the head size grows as the pressure increases. the symptoms are usually drowsiness and decreased alertness. cerebral palsy is the term given for a stroke at or before birth and only shows up as the child begins to move around. this should have been diagnosed by MRI
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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