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Research ArticlePediatric Neuroimaging

Fetal Cytomegalovirus Infection of the Brain: The Spectrum of Sonographic Findings

Gustavo Malinger, Dorit Lev, Neriman Zahalka, Zahi Ben Aroia, Nathan Watemberg, Deborah Kidron, Liat Ben Sira and Tally Lerman-Sagie
American Journal of Neuroradiology January 2003, 24 (1) 28-32;
Gustavo Malinger
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Dorit Lev
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Neriman Zahalka
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Zahi Ben Aroia
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Nathan Watemberg
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Deborah Kidron
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Liat Ben Sira
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Tally Lerman-Sagie
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  • Fig 1.
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    Fig 1.

    Fetus 1.

    Parasagittal transvaginal sonogram of the fetal brain at 25 weeks’ gestation shows abnormal periventricular hyperechogenicity (arrows) and intraventricular adhesion (arrowhead).

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    Fig 2.

    Fetus 3.

    A, Parasagittal transvaginal sonogram of the fetal brain at 22 weeks’ gestation shows abnormal periventricular echogenicity with cystic formation (arrow) and striatal artery vasculopathy (arrowhead). Observe the presence of ventriculomegaly.

    B, Sagittal transvaginal sonogram shows large cisterna magna (cm) and 4th ventricle (v), with hypoplastic vermis (arrow).

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    Fig 3.

    Fetus 7.

    A, Parasagittal transvaginal sonogram of the fetal brain at 37 weeks’ gestation shows periventricular tissue protruding through an undefined ependyma (arrow).

    B, Parasagittal sonogram shows a periventricular cyst (p) protruding into a large lateral ventricle.

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    Fig 4.

    Fetus 5.

    Parasagittal transvaginal sonogram of the fetal brain at 31 weeks’ gestation shows abnormal underdeveloped pre- and postcentral gyri and calcifications (arrows).

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    Fig 5.

    Fetus 2.

    A, Coronal transvaginal sonogram of the fetal brain at 29 weeks’ gestation shows parenchymal foci of increased echogenicity consistent with calcifications (solid arrows) and abnormal sulcation (open arrows).

    B, Sagittal transvaginal sonogram shows hypoplastic, blurred corpus callosum. The genu of the corpus callosum is not observed (open arrows), the splenium is thin (solid arrow). csp indicates cavum septum pellucidum.

    C,Sagittal transvaginal sonogram shows cerebellar echogenic foci (arrow).

Tables

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  • Clinical characteristics of eight fetuses with proved CMV infection

    Fetus No.Gestational Age (wks)Sonographic FindingsMethod of CMV Diagnosis
    Abnormal Periventricular EchogenicityParenchymal Focal EchogenicityEnlarged VentriclesVentricular AdhesionsPeriventricular CystsAbnormal SulcationAbnormal Corpus CallosumAbnormal Cerebellum
    125HyperechogenicYesNoYesNoYesNoNoPCR, PM
    229HyperechogenicYesYesNoNoYesYesYesPM
    322CysticYesYesNoYesNoNoYesPCR, PM
    422CysticNoNoNoYesNoNoNoPCR
    531HyperechogenicYesYesYesNoYesYesNoCulture
    624HyperechogenicYesYesNoNoYesNoNoPCR, PM
    737Undefined ependymaYesYesNoYesNoNoNoIgM, PM
    826Undefined ependymaYesNoYesNoNoNoNoPCR, PM
    • Note.—PCR indicates polymerase chain reaction; PM, postmortem examination; IgM, immunoglobulin M.

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American Journal of Neuroradiology: 24 (1)
American Journal of Neuroradiology
Vol. 24, Issue 1
1 Jan 2003
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Cite this article
Gustavo Malinger, Dorit Lev, Neriman Zahalka, Zahi Ben Aroia, Nathan Watemberg, Deborah Kidron, Liat Ben Sira, Tally Lerman-Sagie
Fetal Cytomegalovirus Infection of the Brain: The Spectrum of Sonographic Findings
American Journal of Neuroradiology Jan 2003, 24 (1) 28-32;

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Fetal Cytomegalovirus Infection of the Brain: The Spectrum of Sonographic Findings
Gustavo Malinger, Dorit Lev, Neriman Zahalka, Zahi Ben Aroia, Nathan Watemberg, Deborah Kidron, Liat Ben Sira, Tally Lerman-Sagie
American Journal of Neuroradiology Jan 2003, 24 (1) 28-32;
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  • Postnatally acquired cytomegalovirus infection in preterm infants: a prospective study on risk factors and cranial ultrasound findings
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