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Hydranencephaly Owing to Twin—Twin Transfusion: Serial Fetal Ultrasonography and Magnetic Resonance Imaging Findings

Department of Neurology and Neurological Sciences, Stanford University School of Medicine Lacile Packard Children's Hospital at Stanford, jhahn{at}stanford.edu.

Ann J. Lewis, MD, PhD

Department of Neurology and Neurological Sciences, Stanford University School of Medicine Lacile Packard Children's Hospital at Stanford

Patrick Barnes, MD

Department of Diagnostic Radiology Stanford University School of Medicine Lucile Packard Children's Hospital at Stanford Stanford, California

We report a newborn girl with hydranencephaly. In the setting of a monochorionic twin pregnancy, one twin's demise was detected by ultrasonography at 18 weeks of gestation, apparently the result of a twin—twin transfusion. In the surviving twin, the evolution of ventriculomegaly, first noted at 18 weeks, to hydranencephaly at 27 weeks is documented by serial sonograms. These findings were confirmed with fetal and postnatal magnetic resonance imaging. (J Child Neurol 2003;18:367—370).

Journal of Child Neurology, Vol. 18, No. 5, 367-370 (2003)
DOI: 10.1177/08830738030180051801


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