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2000
Volume 21, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603

Abstract

Objective

The main objective of this work was to investigate the effect of cavum septi pellucidi et vergae (CSPV) on the pathogenesis of ventriculomegaly (VM) cases detected during the fetal period.

Materials and Methods

The fetuses of 515 mothers who applied to the Department of Radiology between October 2011 and December 2022 and who had undergone fetal magnetic resonance imaging (fMRI) were evaluated retrospectively. 152 fetuses with CSPV were included in the study. The fetuses were separated into the following groups: those with right VM (n = 20), those with left VM (n = 56), and those with bilateral VM (n = 44). Fetuses with CSPV, but without VM (n = 32), were included in the study as the control group. For the group with CSPV, lines were drawn to divide the fetal cranium into two symmetrical parts at the interhemispheric line in the axial and coronal planes. The distances from these lines to the lateral leaves of the CSPV were measured. In addition, measurements of the CSPV (anteroposterior, transverse, and high) were taken. An evaluation of whether that was associated with ventricular width or maternal age and gestational week was conducted.

Results

The left ventricular width was significantly higher in cases where the CSPV deviated more to the right, and the right ventricular width was significantly higher in cases where the CSPV deviated more to the left. When the VM rates in the VM group without CSPV and the VM rates in the VM group with CSPV were compared, the VM rates were found to be significantly higher in those with CSPV.

Conclusion

Fetuses with CSPV should be followed up for the possibility of developing VM. However, it should be remembered that VM may be a variation due to CSPV. There is an inverse relationship between the side where CSPV deviates and the side where VM is observed.

This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2025-03-17
2025-10-31
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References

  1. DebbinkM.P. SonS.L. WoodwardP.J. KennedyA.M. Sonographic assessment of fetal growth abnormalities.Radiographics202141126828810.1148/rg.202120008133337968
    [Google Scholar]
  2. NagarajU.D. Calvo-GarciaM.A. Kline-FathB.M. Abnormalities associated with the Cavum septi pellucidi on fetal mri: What radiologists need to know.AJR Am. J. Roentgenol.2018210598999710.2214/AJR.17.1921929489402
    [Google Scholar]
  3. BostanA.C. DumR.P. StrickP.L. Functional anatomy of basal ganglia circuits with the cerebral cortex and the cerebellum.Prog. Neurol. Surg.201833506110.1159/00048074829332073
    [Google Scholar]
  4. BradyD. SchlattererS.D. WhiteheadM.T. Fetal brain MRI: Neurometrics, typical diagnoses, and resolving common dilemmas.Br. J. Radiol.20239611472021101935604645
    [Google Scholar]
  5. ENSO Working GroupRole of prenatal magnetic resonance imaging in fetuses with isolated mild or moderate ventriculomegaly in the era of neurosonography: International multicenter study.Ultrasound Obstet. Gynecol.202056334034710.1002/uog.2197431917496
    [Google Scholar]
  6. VoS.T. HoangK.V. CaoT.T. TangS.H. BuiH.H. GiangH. EP06.30: Prenatal diagnosis a case of X‐linked hydrocephalus caused by a novel missense mutation in the L1CAM gene.Ultrasound Obstet. Gynecol.202362S113313310.1002/uog.26708
    [Google Scholar]
  7. NormanG. Likert scales, levels of measurement and the “laws” of statistics.Adv. Health Sci. Educ. Theory Pract.201015562563210.1007/s10459‑010‑9222‑y20146096
    [Google Scholar]
  8. DremmenM.H.G. BouhuisR.H. BlankenL.M.E. MuetzelR.L. VernooijM.W. MarrounH.E. JaddoeV.W.V. VerhulstF.C. TiemeierH. WhiteT. Cavum septum pellucidum in the general pediatric population and its relation to surrounding brain structure volumes, cognitive function, and emotional or behavioral problems.AJNR Am. J. Neuroradiol.201940234034610.3174/ajnr.A593930679220
    [Google Scholar]
  9. FerreiraD.B.C.O. MedeirosJ.W. CwajgE. Ferreira-PintoP.H.C. de CarvalhoL.U. NigriF. Cavum septum pellucidum and vergae cyst: A symptomatic case with intracranial hypertension and multiple nerve involvement.Surg. Neurol. Int.20221356410.25259/SNI_822_202236600739
    [Google Scholar]
  10. LeeJ.K. WuJ. BullenJ. BanksS. BernickC. ModicM.T. RuggieriP. BennettL. JonesS.E. Association of cavum septum pellucidum and cavum vergae with cognition, mood, and brain volumes in professional fighters.JAMA Neurol.2020771354210.1001/jamaneurol.2019.286131498371
    [Google Scholar]
  11. ShresthaB. Late onset of psychotic symptoms in a patient with cavum septum pellucidum and cavum vergae.J. Neuropsychiatry Clin. Neurosci.2012241E43E4410.1176/appi.neuropsych.1103006322450646
    [Google Scholar]
  12. FilipovićB. ProstranM. IlankovićN. FilipovićB. Predictive potential of cavum septi pellucidi (CSP) in schizophrenics, alcoholics and persons with past head trauma.Eur. Arch. Psychiatry Clin. Neurosci.2004254422823010.1007/s00406‑004‑0483‑415309391
    [Google Scholar]
  13. ShtayaA. HettigeS. Cavum septum pellucidum causing obstructive hydrocephalus in a toddler.Pediatr. Neurosurg.201954641641810.1159/00050310731593941
    [Google Scholar]
  14. ShererD.M. SokolovskiM. DalloulM. SantosoP. CurcioJ. AbulafiaO. Prenatal diagnosis of dilated cavum septum pellucidum et vergae.Am. J. Perinatol.200421524725110.1055/s‑2004‑82986915232755
    [Google Scholar]
  15. HoY.K. TurleyM. Marc-AureleK.L. JonesM.C. HousmanE. EngelkemierD. RomineL.E. KhannaP.C. PretoriusD.H. Enlarged Cavum septi pellucidi and vergae in the fetus: A cause for concern.J. Ultrasound Med.20173681657166810.7863/ultra.16.0608128417514
    [Google Scholar]
  16. GoldsteinI. CopelJ.A. MakhoulI.R. Mild cerebral ventriculomegaly in fetuses: Characteristics and outcome.Fetal Diagn. Ther.200520428128410.1159/00008508615980641
    [Google Scholar]
  17. BreezeA.C.G. DeyP.K. LeesC.C. HackettG.A. SmithG.C.S. MurdochE.M. Obstetric and neonatal outcomes in apparently isolated mild fetal ventriculomegaly.J. Perinat. Med.200533323624010.1515/JPM.2005.04315914347
    [Google Scholar]
  18. GagliotiP. DanelonD. BontempoS. MombròM. CardaropoliS. TodrosT. Fetal cerebral ventriculomegaly: Outcome in 176 cases.Ultrasound Obstet. Gynecol.200525437237710.1002/uog.185715791694
    [Google Scholar]
  19. WyldesM. WatkinsonM. Isolated mild fetal ventriculomegaly.Arch. Dis. Child. Fetal Neonatal Ed.20048919F1310.1136/fn.89.1.F914711845
    [Google Scholar]
  20. MelchiorreK. BhideA. GikaA.D. PiluG. PapageorghiouA.T. Counseling in isolated mild fetal ventriculomegaly.Ultrasound Obstet. Gynecol.200934221222410.1002/uog.730719644944
    [Google Scholar]
  21. GiorgioneV. HaratzK.K. ConstantiniS. BirnbaumR. MalingerG. Fetal cerebral ventriculomegaly: What do we tell the prospective parents?Prenat. Diagn.202242131674168110.1002/pd.626636371614
    [Google Scholar]
  22. BarzilayE. Bar-YosefO. DorembusS. AchironR. KatorzaE. Fetal brain anomalies associated with ventriculomegaly or asymmetry: An MRI-based study.AJNR Am. J. Neuroradiol.201738237137510.3174/ajnr.A500928059712
    [Google Scholar]
  23. BhatiaA. ThiaE.W.H. BhatiaA. RuochenD. YeoG.S.H. Sonographic spectrum and postnatal outcomes of early-onset versus late-onset fetal cerebral ventriculomegaly.J. Matern. Fetal Neonatal Med.202235234612461910.1080/14767058.2020.185735833292033
    [Google Scholar]
  24. JarvisD. GriffithsP.D. Normal appearances and dimensions of the foetal cavum septi pellucidi and vergae on in utero MR imaging.Neuroradiology202062561762710.1007/s00234‑020‑02364‑532002585
    [Google Scholar]
  25. SartoriP. AnayaV. MontenegroY. CayoM. BarbaG. Variantes anatómicas del septum pellucidum.Rev. Argent. Radiol.2015792808510.1016/j.rard.2014.11.007
    [Google Scholar]
  26. WeyerbrockA. MainprizeT. RutkaJ.T. Endoscopic fenestration of a symptomatic cavum septum pellucidum: Technical case report.Neurosurgery2006594 Suppl. 2ONSE49117038961
    [Google Scholar]
  27. SimoninA. BangashO. ChandranA.S. UveliusE. LindC. Endoscopic fenestration of cavum septum pellucidum cysts to the third ventricle: Technical note.Oper. Neurosurg. (Hagerstown)2020194E434E43910.1093/ons/opaa10132348482
    [Google Scholar]
  28. YasakiT. TakahashiY. TakahashiT. WashizukaS. AmanoN. HaniharaT. Cavum septum pellucidum and cavum vergae with late-onset catatonia.J. ECT2013293e45e4610.1097/YCT.0b013e318290fc1323670024
    [Google Scholar]
  29. FlashmanL.A. RothR.M. PixleyH.S. CleavingerH.B. McAllisterT.W. VidaverR. SaykinA.J. Cavum septum pellucidum in schizophrenia: Clinical and neuropsychological correlates.Psychiatry Res. Neuroimaging2007154214715510.1016/j.pscychresns.2006.09.00117291728
    [Google Scholar]
  30. SilbertP.L. GubbayS.S. VaughanR.J. Cavum septum pellucidum and obstructive hydrocephalus.J. Neurol. Neurosurg. Psychiatry199356782082210.1136/jnnp.56.7.8208331361
    [Google Scholar]
  31. RatheeS. JoshiP. KelkarA. SethN. Fetal MRI: A pictorial essay.Indian J. Radiol. Imaging2016261526210.4103/0971‑3026.17832627081224
    [Google Scholar]
  32. MasselliG. Vaccaro NotteM.R. Zacharzewska-GondekA. LaghiF. ManganaroL. BrunelliR. Fetal MRI of CNS abnormalities.Clin. Radiol.2020758640.e1640.e1110.1016/j.crad.2020.03.03532349872
    [Google Scholar]
  33. Bijarnia-MahayS. PuriR.D. KotechaU. DashP. PalS. LallM. MahajanS. SaviourP. PaliwalP. BaijalA. DimriN. SharmaN. VermaI.C. Outcome of prenatally-detected fetal ventriculomegaly.J. Foetal Med.201521394410.1007/s40556‑015‑0044‑0
    [Google Scholar]
  34. GriffithsP.D. BradburnM. CampbellM.J. CooperC.L. GrahamR. JarvisD. KilbyM.D. MasonG. MooneyC. RobsonS.C. WailooA. Use of MRI in the diagnosis of fetal brain abnormalities in utero (MERIDIAN): A multicentre, prospective cohort study.Lancet20173891006853854610.1016/S0140‑6736(16)31723‑827988140
    [Google Scholar]
  35. GuJ.L. JohnsonA. KerrM. MoiseK.J.Jr BebbingtonM.W. PedrozaC. SandbergD.I. Correlating prenatal imaging findings of fetal ventriculomegaly with the need for surgical intervention in the first 3 months after birth.Pediatr. Neurosurg.2017521202510.1159/00044900327676186
    [Google Scholar]
  36. Di MascioD. SileoF.G. KhalilA. RizzoG. PersicoN. BrunelliR. GiancottiA. PaniciP.B. AcharyaG. D’AntonioF. Role of magnetic resonance imaging in fetuses with mild or moderate ventriculomegaly in the era of fetal neurosonography: Systematic review and meta‐analysis.Ultrasound Obstet. Gynecol.201954216417110.1002/uog.2019730549340
    [Google Scholar]
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