Fetal ventriculomegaly may be caused by problems with brain development or the flow of cerebrospinal fluid (CSF). CSF is a fluid that surrounds and cushions the brain and spinal cord. Normally the fluid can move smoothly around the brain and spine. If CSF flow is slowed or stopped it can put pressure on the ventricles and make them expand.
Conditions in the baby that may increase the risk of ventriculomegaly include:
- Intracranial cysts
- Spinal bifida
- Agenesis of the corpus callosum
- Intracerebral hemorrhage
Certain infections of the mother during pregnancy can increase the risk of fetal ventriculomegaly. Infections associated with ventriculomegaly include:
- Cytomegalovirus—an infection caused by a type of herpes virus
- Toxoplasmosis—an infection associated with cat feces or infected food
- Syphilis—a sexually transmitted disease
- Lymphocytic choriomeningitis—a virus spread by mice (rare)
Fetal ventriculomegaly is often found during a routine prenatal ultrasound. Further testing may be done by specialists and after birth.
During pregnancy, the fetus’ condition may be assessed with:
- A high-resolution fetal ultrasound
- A fetal MRI scan
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Additional ultrasounds may be done to monitor the fetus’ condition. Sometimes fetal ventriculomegaly resolves on its own.
Draining the CSF
If the condition is severe or worsens, alternative pathways will be needed to drain the CSF. This can be done by inserting a ventriculoperitoneal shunt after your child is born.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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American College of Obstetrics and Gynecology http://www.acog.org
Women’s Health—US Department of Health and Human Services http://www.womenshealth.gov
Health Canada http://www.hc-sc.gc.ca
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
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