切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2018, Vol. 15 ›› Issue (05) : 330 -339. doi: 10.3877/cma.j.issn.1672-6448.2018.05.002

所属专题: 总编推荐 妇产科超声影像学 产前超声 文献 妇产科超声

专家论坛

颅内囊性结构(室管膜下囊肿、布莱克囊肿、韦氏腔、中间帆腔)产前超声报告与解读
李胜利1,(), 廖伊梅1, 文华轩1   
  1. 1. 518028 南方医科大学附属深圳市妇幼保健院
  • 收稿日期:2018-04-12 出版日期:2018-05-01
  • 通信作者: 李胜利
  • 基金资助:
    国家自然科学基金(81771598); 深圳市科技计划项目(JSGG20160428154812749,JCYJ20170307091013214)

The report and interpretation of prenatal ultrasound on intracranial cystic structures: subependymal cysts, Blake's pouch cyst, Cavum vergae, cavum velum interpositum

Shengli Li1(), Yimei Liao1, Huaxuan Wen1   

  • Received:2018-04-12 Published:2018-05-01
  • Corresponding author: Shengli Li
引用本文:

李胜利, 廖伊梅, 文华轩. 颅内囊性结构(室管膜下囊肿、布莱克囊肿、韦氏腔、中间帆腔)产前超声报告与解读[J]. 中华医学超声杂志(电子版), 2018, 15(05): 330-339.

Shengli Li, Yimei Liao, Huaxuan Wen. The report and interpretation of prenatal ultrasound on intracranial cystic structures: subependymal cysts, Blake's pouch cyst, Cavum vergae, cavum velum interpositum[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2018, 15(05): 330-339.

图2 脑室周围脑白质软化(PVL)、产时囊肿(CC)和室管膜下囊肿(SEPC)的模式图。脑室周围假性囊肿包括产时囊肿(CC)和室管膜下囊肿(SEPC),产时囊肿(CC)位于室间孔前方,室管膜下囊肿(SEPC)位于室间孔后方
图3 Blake′s pouch囊肿模式图
图6,7 胎儿永存Blake陷窝囊肿超声和MRI颅脑正中矢状断面图像,其窦汇位置正常。白箭头示窦汇位置;黑箭头示颈肌插入处;tentorium为小脑幕
图8 韦氏腔、透明隔腔、中间帆腔模式图
表1 不同孕周韦氏腔的闭合率(%)
图10 胎儿颅脑正中矢状面声像图,示韦氏腔位于丘脑前上方、胼胝体下方,并与透明隔腔相通
图14 胎儿中间帆腔增大声像图。矢状面显示中间帆腔囊性结构,位于穹隆及透明隔腔下方、丘脑后上方,不与透明隔腔相通
1
Esteban H, Blondiaux E, Audureau E, et al. Prenatal features of isolated subependymal pseudocysts associated with adverse pregnancy outcome [J]. Ultrasound Obstet Gynecol, 2015, 46(6): 678-687.
2
Shen EY, Huang FY. Subependymal cysts in normal neonates [J]. Arch Dis Child, 1985, 60(11): 1072-1074.
3
Heibel M, Heber R, Bechinger D, et al. Early diagnosis of perinatal cerebral lesions in apparently normal full-term newborns by ultrasound of the brain [J]. Neuroradiology, 1993, 35(2): 85-91.
4
徐庆玲, 王淑荣, 颜廷红. 新生儿室管膜下囊肿的超声表现及临床意义 [J]. 医学影像学杂志, 2013, 23(5): 675-677.
5
钱继红, 陈惠金, 陈冠仪, 等. 新生儿室管膜下囊肿预后的前瞻性观察 [J]. 中华儿科杂志, 2004 , 42 (12) : 913-916.
6
武玺宁, 孟华, 姜玉新, 等. 胎儿颅内出血的产前超声诊断 [J]. 中华超声影像学杂志, 2012, 21(1): 42-44.
7
Cuillier F, Cartault F, Lemaire P, et al. Subependymal pseudocysts in the fetal brain revealing Zellweger syndrome [J]. J Gynecol Obstet Biol Reprod (Paris), 2004, 33(4): 325-329.
8
Hoffmann GF, Athanassopoulos S, Burlina AB, et al. Clinical course, early diagnosis, treatment, and prevention of disease in glutaryl-CoA dehydrogenase deficiency [J]. Neuropediatrics, 1996, 27(3): 115-123.
9
Malinger G, Lev D, Zahalka N, et al. Fetal cytomegalovirus infection of the brain: the spectrum of sonographic findings [J]. AJNR Am J Neuroradiol, 2003, 24(1): 28-32.
10
Lu JH, Emons D, Kowalewski S. Connatal periventricular pseudocysts in the neonate [J]. Pediatr Radiol, 1992, 22(1): 55-58.
11
Zuppa AA, Gallini F, De Luca D, et al. Cerebral ultrasound findings in neonatal lupus syndrome [J]. Biol Neonate, 2004, 86(4): 230-234.
12
Thun-Hohenstein L, Forster I, Künzle C, et al. Transient bifrontal solitary periventricular cysts in term neonates [J]. Neuroradiology, 1994, 36(3): 241-244.
13
周丛乐. 新生儿颅脑超声诊断学 [M]. 北京: 北京大学医学出版社, 2007: 58.
14
沈晓明, 王卫平. 儿科学 [M]. 7版. 北京: 人民卫生出版社, 2008: 105.
15
Malinger G, Lev D, Ben Sira L, et al. Congenital periventricular pseudocysts: prenatal sonographic appearance and clinical implications [J]. Ultrasound Obstet Gynecol, 2002, 20(5): 447-451.
16
Cooper S, Bar-Yosef O, Berkenstadt M, et al. Prenatal Evaluation, Imaging Features, and Neurodevelopmental Outcome of Prenatally Diagnosed Periventricular Pseudocysts [J]. AJNR Am J Neuroradiol, 2016, 37(12): 2382-2388.
17
Makhoul IR, Zmora O, Tamir A, et al. Congenital subependymal pseudocysts: own data and meta-analysis of the literature [J]. Isr Med Assoc J, 2001, 3(3): 178-183.
18
Cevey-Macherel M, Forcada Guex M, Bickle Graz M, et al. Neurodevelopment outcome of newborns with cerebral subependymal pseudocysts at 18 and 46 months: a prospective study [J]. Arch Dis Child, 2013, 98(7): 497-502.
19
Yang M, Jiang Y, Chen Q, et al. Prenatal diagnosis and prognosis of isolated subependymal cysts: A retrospective cohort study [J]. Prenat Diagn, 2017, 37(13): 1322-1326.
20
Blake MDJA. The roof and lateral recesses of the fourth ventricle, considered morphologically and embryologically [J]. Journal of Comparative Neurology, 1900, 10(1): 79-108.
21
李胜利, 罗国阳. 胎儿畸形产前超声诊断学 [M]. 北京: 科学技术出版社, 2017: 262-278.
22
Azab WA, Shohoud SA, Elmansoury TM, et al. Blake′s pouch cyst [J]. Surg Neurol Int, 2014, 1(5): 112.
23
Shohoud SA, Azab WA, Alsheikh TM, et al. Blake′s pouch cyst and Werdnig-Hoffmann disease: Report of a new association and review of the literature [J]. Surg Neurol Int, 2014, 5(Suppl 4): S282-288.
24
Paladini D, Quarantelli M, Pastore G, et al. Abnormal or delayed development of the posterior membranous area of the brain: anatomy, ultrasound diagnosis, natural history and outcome of Blake′s pouch cyst in the fetus [J]. Ultrasound Obstet Gynecol, 2012, 39(3): 279-287.
25
Myers KA, Wallis MJ, Fitt GJ, et al. Blake′s pouch cyst in 13q deletion syndrome: Posterior fossa malformations may occur due to disruption of multiple genes [J]. Am J Med Genet A, 2017, 173(9): 2442-2445.
26
Chen CP, Su YN, Chang TY, et al. Rapid detection of de novo P253R mutation in FGFR2 using uncultured amniocytes in a pregnancy affected by polyhydramnios, Blake′s pouch cyst, and Apert syndrome [J]. Taiwan J Obstet Gynecol, 2013, 52(2): 273-277.
27
Martinez-Ten P, Illescas T, Adiego B, et al. Non-visualization of choroid plexus of fourth ventricle as first-trimester predictor of posterior fossa anomalies and chromosomal defects [J]. Ultrasound Obstet Gynecol, 2018, 51(2): 199-207.
28
Gandolfi Colleoni G, Contro E, Carletti A, et al. Prenatal diagnosis and outcome of fetal posterior fossa fluid collections [J]. Ultrasound Obstet Gynecol, 2012, 39(6): 625-631.
29
Cornips EM, Overvliet GM, Weber JW, et al. The clinical spectrum of Blake′s pouch cyst: report of six illustrative cases [J]. Childs Nerv Syst, 2010, 26(8): 1057-1064.
30
Zalel Y, Gilboa Y, Gabis L, et al. Rotation of the vermis as a cause of enlarged cisterna magna on prenatal imaging [J]. Ultrasound Obstet Gynecol, 2006, 27(5): 490-493.
31
Bontognali M, Poretti A, Guzman R, et al. Blake′s pouch cyst in children: Atypical clinical presentation [J]. Neuroradiol J, 2017, 1971400917698855.
32
Hirono S, Ito D, Murai H, et al. Postnatal development of Blake′s pouch cyst: a case report and new insight for its pathogenesis [J]. Childs Nerv Syst, 2014, 30(10): 1767-1771.
33
Epelman M, Daneman A, Blaser SI, et al. Differential diagnosis of intracranial cystic lesions at head US: correlation with CT and MR imaging [J]. Radiographics, 2006, 26(1): 173-196.
34
Ciołkowski MK. Cavum velum interpositum, cavum septum pellucidum and cavum Vergae: a review [J]. Childs Nerv Syst, 2011, 27(12): 2027-2028
35
Unal O, Ipek A, Keskin HL, et al. Transabdominal Sonographic Study of the Cavum Vergae Detection Rate in Healthy Third-Trimester Fetuses [J]. J Ultrasound Med, 2015, 34(8): 1407-1414.
36
Ronsin E, Grosskopf D, Perre J. Morphology and immunohistochemistry of a symptomatic septum pellucidum cavum Vergae cyst in man [J]. Acta Neurochir (Wien), 1997, 139(4): 366-371.
37
Sahinoglu Z, Uludogan M, Delikara MN. Prenatal sonographic diagnosis of dilated cavum vergae [J]. J Clin Ultrasound, 2002, 30(6): 378-383.
38
Landin-Romero R, Sarró S, Fernández-Corcuera P, et al. Prevalence of cavum vergae in psychosis and mood spectrum disorders [J]. J Affect Disord, 2015, 186: 53-57.
39
Chen JJ, Chen CJ, Chang HF, et al. Prevalence of cavum septum pellucidum and/or cavum Vergae in brain computed tomographies of Taiwanese [J]. Acta Neurol Taiwan, 2014, 23(2): 49-54.
40
Vergani P, Locatelli A, Piccoli MG, et al. Ultrasonographic differential diagnosis of fetal intracranial interhemispheric cysts [J]. Am J Obstet Gynecol, 1999, 180(2 Pt 1): 423-428.
41
Tao G, Lu G, Zhan X, et al. Sonographic appearance of the cavum septum pellucidum et vergae in normal fetuses in the second and third trimesters of pregnancy [J]. J Clin Ultrasound, 2013, 41(9): 525-531.
42
Ochiai D, Omori S, Ikeda T, et al. Prenatal diagnosis of dilated cavum vergae with three-dimensional transvaginal ultrasound [J]. Arch Gynecol Obstet, 2012, 286(4):1073-1074.
43
Ho YK, Turley M, Marc-Aurele KL, et al. Enlarged Cavum Septi Pellucidi and Vergae in the Fetus: A Cause for Concern [J]. J Ultrasound Med, 2017, 36(8): 1657-1668.
44
Bronshtein M, Weiner Z. Prenatal diagnosis of dilated cava septi pellucidi et vergae: associated anomalies, differential diagnosis, and pregnancy outcome [J]. Obstet Gynecol, 1992, 80(5): 838-842.
45
陈慧明, 张丽范. 胎儿期第五、六脑室扩张的超声诊断和临床意义 [J]. 中国实用医药, 2012, 7(11): 26-28.
46
陆铭娜, 贺晶, 蔡淑萍. 胎儿期第五、六脑室扩张的围产儿结局随访 [J/CD]. 中国产前诊断杂志(电子版), 2009, 1(2): 19-23.
47
Sherer DM, Sokolovski M, Dalloul M, et al. Prenatal diagnosis of dilated cavum septum pellucidum et vergae [J]. Am J Perinatol, 2004, 21(5): 247-251.
48
Ghuman MS, Gupta V, Kumar A, et al. Hemorrhage in cavum septum pellucidum et vergae: it does exist! [J]. Acta Neurochir (Wien), 2015, 157(9): 1489-1491.
49
Butt W, Havill D, Daneman A, et al. Hemorrhage and cyst development in the cavum septi pellucidi and cavum Vergae. Report of three cases [J]. Pediatr Radiol, 1985, 15(6): 368-371.
50
Trzesniak C, Oliveira IR, Kempton MJ, et al. Are cavum septum pellucidum abnormalities more common in schizophrenia spectrum disorders? A systematic review and meta-analysis [J]. Schizophr Res, 2011, 125(1): 1-12.
51
Kaciński M, Kubik A, Herman-Sucharska I, et al. MRI brain imaging data in children with cavum septi pellucidi and vergae [J]. Przegl Lek, 2007, 64(11): 923-928.
52
Shrestha B. Late onset of psychotic symptoms in a patient with cavum septum pellucidum and cavum vergae [J]. J Neuropsychiatry Clin Neurosci, 2012, 24(1): E43-44.
53
Lampl Y, Barak Y, Gilad R, et al. Familial dyslexia associated with cavum vergae [J]. Clin Neurol Neurosurg, 1997, 99(2):142-147.
54
李谊, 丛淑珍, 钱隽, 等. 超声观察胎儿帆间池增大及其对预后的影响 [J]. 中国医学影像技术, 2012, 28(11): 2056-2059.
55
Chen CY, Chen FH, Lee CC, et al. Sonographic characteristics of the cavum velum interpositum [J]. AJNR Am J Neuroradiol, 1998, 19(9): 1631-1635.
56
Aldur MM, Celik HH, Gürcan F, et al. Frequency of cavum veli interpositi in non-psychotic population: a magnetic resonance imaging study [J]. J Neuroradiol, 2001, 28(2): 92-96.
57
D′Addario V, Pinto V, Rossi AC, et al. Cavum veli interpositi cyst: prenatal diagnosis and postnatal outcome [J]. Ultrasound Obstet Gynecol, 2009, 34(1): 52-54.
58
Shah PS, Blaser S, Toi A, et al. Cavum veli interpositi: prenatal diagnosis and postnatal outcome [J]. Prenat Diagn, 2005, 25(7): 539-542.
59
Hertzberg BS, Kliewer MA, Provenzale JM. Cyst of the velum interpositum: antenatal ultrasonographic features and differential diagnosis [J]. J Ultrasound Med, 1997, 16(11): 767-770.
60
Eisenberg VH, Zalel Y, Hoffmann C, et al. Prenatal diagnosis of cavum velum interpositum cysts: significance and outcome [J]. Prenat Diagn, 2003, 23(10): 779-783.
61
Blasi I, Henrich W, Argento C, et al. Prenatal diagnosis of a cavum veli interpositi [J]. J Ultrasound Med, 2009, 28(5): 683-687.
62
Gómez EC, Ramón y Cajal CL, Cernadas Pires SE, et al. Prenatal diagnosis of a progressively enlarging cavum veli interpositi cyst [J]. J Ultrasound Med, 2014, 33(10): 1868-1871.
63
Giussani C, Fiori L, Trezza A, et al. Cavum veli interpositi: just an anatomical variant or a potentially symptomatic CSF compartmentalization? [J]. Pediatr Neurosurg, 2011, 47(5): 364-368.
No related articles found!
阅读次数
全文


摘要