Imaging diagnosis and legal implications of brain injury in survivors following single intrauterine fetal demise from monochorionic twins - a review of the literature.
Abortion, Eugenic
/ ethics
Brain Injuries
/ diagnostic imaging
Decision Making
Diffusion Magnetic Resonance Imaging
Diseases in Twins
/ diagnostic imaging
Female
Fetal Death
Global Health
Humans
Parents
/ psychology
Pregnancy
Pregnancy, Twin
Prenatal Diagnosis
/ methods
Twins, Monozygotic
Ultrasonography, Prenatal
DWI MRI
brain injury
legal aspects
monochorionic
surviving twin
Journal
Journal of perinatal medicine
ISSN: 1619-3997
Titre abrégé: J Perinat Med
Pays: Germany
ID NLM: 0361031
Informations de publication
Date de publication:
27 Sep 2021
27 Sep 2021
Historique:
received:
01
12
2020
accepted:
18
03
2021
pubmed:
22
4
2021
medline:
27
1
2022
entrez:
21
4
2021
Statut:
epublish
Résumé
Brain injury of the surviving twin from monochorionic pregnancies following intrauterine fetal demise during the second and third trimesters is a rare but severe complication. Monochorionicity and gestational age at the time of stillbirth seem to be decisive factors in terms of long-term neurologic outcome prediction for the survivor. Magnetic resonance imaging (MRI), diffusion weighted imaging (DWI) in particular, seem to bring the earliest and most accurate diagnosis. Ultrasound detection of brain damage is possible in later stages of fetal brain injury. It is essential to provide early diagnosis and multidisciplinary counsel to the parents to ensure informed decision making. For couples who choose to terminate pregnancy legislation related to late abortion might lead to further distress. Our paper aims to stress the importance of MRI DWI in the evaluation of surviving twins following single intrauterine fetal demise in monochorionic pregnancies and the delicate context of the medical professionals and parents facing this clinical situation, sometimes complicated by legal constraints.
Identifiants
pubmed: 33882202
pii: jpm-2020-0566
doi: 10.1515/jpm-2020-0566
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
837-846Informations de copyright
© 2021 Gheorghe Cruciat et al., published by De Gruyter, Berlin/Boston.
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