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Ventriculomegaly

Ventriculomegaly is a brain condition that mainly occurs in the fetus when the lateral ventricles become dilated. The ventricular system of the brain develops from cerebral vesicles. In early brain development, the wide cerebral ventricles are surrounded by thin neural tissue. The final shape of the lateral ventricles is caused by the rapidly growing neocortex under the pressure of hemispheric rotation. The cerebral hemispheres curve backward and outward in early development. The frontal horns develop first, followed by the temporal horns, and finally the occipital horns.

Associations
Ventriculomegaly is also known to be associated with other malformations such as agenesis of the corpus callosum, spina bifida, and heart defects. Fetuses with both isolated ventriculomegaly and with other anomalies have an increased risk of having a chromosomal abnormality, including that of Down syndrome. Ventriculomegaly associated with abnormal findings and other structural malformations, often has an adverse prognosis, which ranges from disability (often mild) to death. However, in cases of mild isolated ventriculomegaly, there is around a 90% chance of a normal outcome. Increasingly, fetal magnetic resonance imaging is being considered as part of the assessment of pregnancies complicated by fetal ventriculomegaly, and appears to be important in the postnatal assessment of affected children. Although evaluation of lateral ventricles dimensions is decisive for establishing a diagnosis of ventriculomegaly, the shape of the ventricular system, including that of the frontal horns, is also important. Ventriculomegaly occurs in those with GLUT1 deficiency syndrome. ==See also==
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