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What Does This Ultrasound Report Indicate?

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Posted on Wed, 26 Oct 2016
Question: hi i did ultrasound at 19 weeks and 5 days and the ultrasound shows head prominent lateral ventricles at 7.6mm.. what does it mean?
doctor
Answered by Dr. Sameer Kumar (8 minutes later)
Brief Answer:
answered

Detailed Answer:
Hello,
Thanks for the query to HCM,
thE PRESENCE of prominent lateral ventricles in head of foetus indicate that the overall CSF in the brain is slightly more, so if the value is less than 10mm, there is no apparent need to worry but 2 weekly follow ups shall be required to consider and monitor development of hydrocephalus.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (3 minutes later)
does it going to be more in future?? is going to be more in the future?what should be the normal?
doctor
Answered by Dr. Sameer Kumar (4 minutes later)
Brief Answer:
anaswered

Detailed Answer:
It may or may not .one cannot be sure and hence follow up is advised. The normal size is less than 5mm.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (3 minutes later)
What should i do to help so that it wont be more.. and y did it happen? If its remain like this range should i not worry?
doctor
Answered by Dr. Sameer Kumar (12 minutes later)
Brief Answer:
answered

Detailed Answer:
If the lateral ventricles are 10 millimeters or greater in size then you will be told that your fetus has "ventriculomegaly". You really cannot do anything to prevent that. its happening naturally.
The outcome of ventriculomegaly depends on several factors including the actual size of the ventricles, whether or not there are any other findings on the ultrasound, such as agenesis of the corpus callosum, and the results of the amniocentesis. In general, the outcome is worse when the ventricles are larger, the amniocentesis is abnormal, or there are other problems seen on the ultrasound. The best outcome is typically observed when: 1.) the fetus' ventricles are only mildly enlarged (measure between 10-15 millimeters in size, 2.) when there are no other problems seen on the ultrasound, and 3.) the genetic testing results are normal—this is called “Isolated Mild Ventriculomegaly”.

The exact outcome for your child’s health is difficult to know. The most common effect in the child is developmental delay. This seems to be related to the size of the ventricles.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (5 minutes later)
If it stay like this 7mm i should not worry anymore? Does it also link to other chromosomal syndrome?
doctor
Answered by Dr. Sameer Kumar (2 minutes later)
Brief Answer:
answered

Detailed Answer:
Yes if it stays less than 10mm then there is no need to worry.
There has been no association as such found between chromosomal disorder and ventriculomengaly, at least one cannot pinpoint the disorder unless an amniocentesis is done and karyotyping and DNA analysis or a chromosomal micro array analysis is being done.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (3 minutes later)
Is it still early to predict??my radiologist told me that 19 weeks still going to become small.. im really scared because its my first baby.. the dr. Also says everything is normal just slight dilated lateral ventricles
doctor
Answered by Dr. Sameer Kumar (8 minutes later)
Brief Answer:
answered

Detailed Answer:
In my experience i have seen only 2 cases out of around 50 with dilated lateral ventricles who required post delivery surgery for shunt but the rest delivered normally with regular monitoring and next 2 years follow up showed no developmental delay.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (4 minutes later)
Is there any food for me to avoid ?? But do you think it will still going to be small
doctor
Answered by Dr. Sameer Kumar (4 minutes later)
Brief Answer:
answered

Detailed Answer:
Till date the reason could not be actually found out. However no food avoidance or increase can have any effect on the lateral ventricle or csf production in situ. You really can't do much but just to get regular follow ups done 2-3 weekly.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (9 minutes later)
can you check this
doctor
Answered by Dr. Sameer Kumar (4 minutes later)
Brief Answer:
answered

Detailed Answer:
The report is free from any congenital anomaly except enlarged ventricles. So as you are into 20th week, the next best follow up would be after 6 weeks and then 3 weekly shall be advisable.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (3 minutes later)
thank you so much.. i hope it will be less on my next follow up.. im really scared.. i hope still early and it will going to be normal in future before my delivery
doctor
Answered by Dr. Sameer Kumar (3 minutes later)
Brief Answer:
good luck and take care

Detailed Answer:
Yes please keep me informed and be positive about it. Presently there is no need to be worried.
If you have no further queries then you may please close th query with a feedback.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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What Does This Ultrasound Report Indicate?

Brief Answer: answered Detailed Answer: Hello, Thanks for the query to HCM, thE PRESENCE of prominent lateral ventricles in head of foetus indicate that the overall CSF in the brain is slightly more, so if the value is less than 10mm, there is no apparent need to worry but 2 weekly follow ups shall be required to consider and monitor development of hydrocephalus. Regards