Ultrasonographic Findings of Ventriculomegaly in 2nd And 3rd Trimester with Fetal Outcomes

Abstract

In the second trimester, fetal ventriculomegaly is a typical finding on obstetrical ultrasonography. It is clinically relevant since it can be caused by a variety of disorders that cause brain, motor, and/or cognitive impairment. Many cases are associated with other abnormalities, but in other cases, ventriculomegaly is the only abnormality. Objective: To evaluate the incidence of ventriculomegaly in 2nd and 3rd trimester with fetal outcomes. Methods: A descriptive study was conducted at of University of Lahore Ultrasound Clinic Greentown for duration of 4 months. Total 774 females were presented at hospital for in 2nd and 3rd trimester. All participants underwent transabdominal ultrasound using 3-5 MHz curvilinear probe. Written informed consent was obtained from all participants. Results: Total 774 women in 2nd and 3rd trimester of their pregnancy were included in our study. Out of 774 patients 700 were with cephalic presentation and 74 were with breech presentation. Variables including Spinal defect types, ventriculomegaly and ventricular involvement were noted. Out of 774 patients, 22 patients had fetal ventriculomegaly, 2 patients were with meningocele, 3 were with myelomeningocele and 16 patients were with spina bifida occluta. Ventricular involvement was as follow: In 5 fetuses, fourth ventricle was involved, in 15 fetuses lateral ventricles were involved and in 2 fetuses third ventricle was involved. Conclusion: Findings from this study concluded that Severity of ventriculomegaly is highly associated with fetal spinal defects.