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Clinical significance of isolated mega cisterna magna

  • Etan Z. Zimmer
  • Lior Lowenstein
  • Moshe Bronshtein
  • Dorith Goldsher
  • Judith Aharon-Peretz
Original Article

Abstract

Objective

The prevalence and clinical significance of isolated mega cisterna magna in both fetuses and adults is not yet well defined. It is therefore difficult to provide reliable parental counseling in cases of a fetal sonographic diagnosis of this anomaly. The aim of the present study was to, determine the cognitive profile of adults with isolated mega cisterna magna.

Methods

We reviewed 19,301 consecutive CT/MRI of the brain. Isolated mega cisterna magna was observed in 49 cases. A battery of neuropsychological tests was performed in 18 adults with this anomaly and in 18 controls who had no brain anomaly on CT/MRI.

Results

Subjects with isolated mega cisterna magna had a lower performance on memory tasks [RAVLT saving score (0.8 ± 0.2 vs. 1.02 ± 0.2, P = 0.003)] and verbal fluency [phonemic fluency (9.4 ± 4.5 vs. 13.6 ± 5.3, P = 0.02), semantic fluency (19.8 ± 5.8 vs. 24.4 ± 7.5, P = 0.05)]. They did not differ from controls in regard to the Raven similarity tests indicating that this brain anomaly is not associated with impairment of general cognitive abilities.

Conclusion

Adults with isolated mega cisterna have an overall normal cognitive functioning but may score inferior to controls on some parameters of memory and verbal fluency. Although application of adult cases to the fetuses is not well established, this information might be of value in parental counseling in cases of a fetus with this anomaly.

Keywords

Isolated mega cisterna magna Cognitive profile Prenatal counseling 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Etan Z. Zimmer
    • 1
  • Lior Lowenstein
    • 1
  • Moshe Bronshtein
    • 1
  • Dorith Goldsher
    • 2
  • Judith Aharon-Peretz
    • 3
  1. 1.Department of Obstetrics GynecologyRambam Medical CenterHaifaIsrael
  2. 2.Department of NeuroradiologyRambam Medical Center, Technion Faculty of MedicineHaifaIsrael
  3. 3.Department of Cognitive Neurology UnitsRambam Medical Center, Technion Faculty of MedicineHaifaIsrael

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