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A frontal horn cyst or connatal cyst is a cystic area in the brain. It is sometimes found in newborn babies with an incidence rate of 0.4-6%. It is adjacent to the superolateral margin of the body and frontal horn of the lateral ventricles, and is believed to represent a normal variant with no effect on neurological development.
This diagnosis is generally found in routine fetal anomaly scans at 18–22 weeks gestation. It is one of the more common abnormal brain findings on prenatal ultrasound, occurring in around 1–2 per 1,000 pregnancies. [4] In many cases of mild ventriculomegaly, however, there is resolution of ventriculomegaly during the pregnancy.
Colpocephaly is characterized by disproportionately large occipital horns of the lateral ventricles (also frontal and temporal ventricles in some cases). MRI and CT scans of patients demonstrate abnormally thick gray matter with thin poorly myelinated white matter .
The risk of aneuploidy increases to 10.5-12% if other risk factors or ultrasound findings are noted. Size, location, disappearance or progression, and whether the cysts are found on both sides or not do not affect the risk of aneuploidy. 44-50% of Edwards syndrome (trisomy 18) cases will present with choroid plexus cysts, as well 1.4% of Down ...
There is a possible association between ultrasound-detected fetal CPCs and Trisomy 18. [6] [7] It is not correlated to the presence of Trisomy 21 (Down syndrome).[8] [9] Therefore, genetic counseling is often recommended to provide more information about fetal CPCs, to answer questions and concerns, and to outline available options such as amniocentesis or a blood test from the mother.
Lateral ventricles and horns The lateral ventricles connected to the third ventricle by the interventricular foramina. Each lateral ventricle takes the form of an elongated curve, with an additional anterior-facing continuation emerging inferiorly from a point near the posterior end of the curve; the junction is known as the trigone of the lateral ventricle.
Some resources indicate that there are clear reasons for this and that such scans are also clearly beneficial because ultrasound enables clear clinical advantages for assessing the developing fetus in terms of morphology, bone shape, skeletal features, fetal heart function, volume evaluation, fetal lung maturity, [21] and general fetus well being.
The results indicated that there was higher prevalence of the factor V G1691A mutation in the porencephalic patient group. The prediction that childhood porencephaly is caused by hypercoagulable state , a condition where one has a higher chance of developing blood clots, was supported by the significance of the factor V G1691A mutation.