Diffusion-weighted magnetic resonance imaging of acute hypoxic-ischemic cerebral lesions in the survivor of a monochorionic twin pregnancy: case report.
Monochorionic twin pregnancies complicated by the death of one twin are associated with substantial morbidity in the survivor, with a high risk of developing hypoxic-ischemic brain damage. In this report, we demonstrate how prenatal diffusion-weighted magnetic resonance imaging detected focal ischemic lesions in the survivor of a monochorionic twin pregnancy within 1-2 days of cotwin death. A very early diagnosis of cerebral ischemic lesions might influence the management of the pregnancy. Published by John Wiley & Sons, Ltd.
Righini
A
A
Department of Radiology and Neuroradiology, Istituti Clinici di Perfezionamento, Milan, Italy. neurorad@icp.mi.it
Kustermann
A
A
Parazzini
C
C
Fogliani
R
R
Ceriani
F
F
Triulzi
F
F
D000328:Adult; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005315:Fetal Diseases / Q000175:diagnosis*; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000175:diagnosis*; D007231:Infant, Newborn; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011296:Prenatal Diagnosis; D014427:Twins