Archives of Gynecology and Obstetrics

, Volume 282, Issue 6, pp 607–611

Congenital hydrocephalus: gestational and neonatal outcomes

  • Marcelo Luís Nomura
  • Ricardo Barini
  • Kléber Cursino De Andrade
  • Helaine Milanez
  • Renata Zaccaria Simoni
  • Cleisson Fábio Andriolli Peralta
  • Isabela Nelly Machado
  • Hélder Zambelli
  • Karina Tozatto Maio
Materno-fetal Medicine

DOI: 10.1007/s00404-009-1254-2

Cite this article as:
Nomura, M.L., Barini, R., De Andrade, K.C. et al. Arch Gynecol Obstet (2010) 282: 607. doi:10.1007/s00404-009-1254-2

Abstract

Purpose

To evaluate gestational and neonatal outcomes in pregnancies complicated by fetal hydrocephalus.

Methods

Retrospective analysis of 287 cases of fetal hydrocephalus followed at the Fetal Medicine Unit of the University of Campinas in the period of 1996 to 2006.

Results

Mean maternal age was 25 years, mean gestational age at diagnosis was 27 weeks. There were 50 cases of isolated ventriculomegaly, 95 cases of Chiari II malformation and 142 cases of ventriculomegaly associated with other malformations. Preterm delivery and vaginal delivery were more frequent in the group of ventriculomegaly associated with other malformations. Cardiac, skeletal and renal malformations were the most common associated malformations. Cesarean section was common (95%) in the Chiari II group. Fetal and neonatal death occurred more frequently (29 and 68%, respectively) in the group of ventriculomegaly associated with other malformations. Chromosomal anomalies were present in 15% of 165 investigated cases.

Conclusions

Fetal and neonatal prognosis and outcome are associated with the presence of associated anomalies and aneuploidy.

Keywords

Congenital hydrocephalusFetal ventriculomegalyChiari malformationPrenatal diagnosis

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Marcelo Luís Nomura
    • 1
    • 3
  • Ricardo Barini
    • 1
  • Kléber Cursino De Andrade
    • 1
  • Helaine Milanez
    • 1
  • Renata Zaccaria Simoni
    • 1
  • Cleisson Fábio Andriolli Peralta
    • 1
  • Isabela Nelly Machado
    • 1
  • Hélder Zambelli
    • 2
  • Karina Tozatto Maio
    • 1
  1. 1.Department of Obstetrics and Gynecology, School of MedicineUniversidade Estadual de Campinas UnicampCampinasBrazil
  2. 2.Department of Neurosurgery, School of MedicineUniversidade Estadual de Campinas UnicampCampinasBrazil
  3. 3.Rua Alexander FlemingCampinasBrazil