How to treat hydrocephalus in babies during pregnancy

Patient's question:

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Doctor's answer:

Normal fetal lateral ventricle width is less than 1.0 cm, and those exceeding 1.5 cm are likely to be congenital hydrocephalus. Fetal hydrocephalus is a type of neural tube defect and belongs to a polygenic genetic disease. In polygenic genetic diseases, the disease develops due to the combined effect of genetic and environmental factors. However, the role of genetic factors is higher than that of environmental factors, primarily involving the synergistic action of multiple genes. Environmental factors include infections, drugs, toxins, noise, etc. Infections include TORCH (i.e., cytomegalovirus, toxoplasmosis, rubella virus, herpes virus). However, other causative factors cannot be ruled out.
The impact of fetal hydrocephalus on the mother and child: Fetal hydrocephalus leads to an enlarged head size. The fetal cranial sutures and fontanelles are significantly widened, which can cause obstructive dystocia. Congenital hydrocephalus, in early stages, does not affect intelligence, but late-stage cases may exhibit apathy, intellectual disability, vision impairment, and limb paralysis. In the end, most die due to complications such as malnutrition, bedsores, and respiratory infections. In some cases, the condition may spontaneously improve or stabilize.
Treatment for congenital hydrocephalus: Congenital hydrocephalus caused by blocked cerebrospinal fluid circulation can be treated surgically. Most affected children die within 1–2 years.
Medical advice: Your baby should be considered for the possibility of hydrocephalus. However, since fetal growth and development are dynamic, the results of a single examination cannot represent the entire pregnancy. Follow-up is necessary. It is important to undergo follow-up examinations as recommended by the doctor. If the follow-up confirms fetal hydrocephalus, it is best to consider induction of labor in a timely manner.

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