Prenatal diagnosis of fetal suprasellar arachnoid cysts: clinical analysis of five cases / 中华围产医学杂志

ABSTRACT

Objective:To analyze the characteristics and prognosis of fetal suprasellar arachnoid cysts.Methods:The clinical data of five fetuses with suprasellar arachnoid cysts diagnosed prenatally by ultrasound at Peking University First Hospital from March 2015 to July 2019 were analyzed retrospectively. The prenatal diagnosis, progression, and management strategies of this disease were described together with fetal MRI and follow-up data.Results:Five cases of suprasellar arachnoid cysts were diagnosed prenatally by ultrasound, including one isolated and stable case and four with enlarged lesions complicated by ventriculomegaly during pregnancy. There were four male and one female fetus. One baby was born vaginally, three through cesarean section, and the rest one was terminated in another hospital. Two babies were operated at two and six months after birth, respectively, and both recovered. And the other two babies were still under regular follow-up. Fortunately, all four children grew and developed well at the age between 15-66 months.Conclusions:For some fetuses with suprasellar arachnoid cysts, postnatal surgery may not be required. While those who have undergone surgery have a good prognosis due to early intervention.