Parietal Meningocele Under the Scalp of a Fetus Diagnosed Based on Volume Contrast Imaging of Prenatal Three-Dimensional Ultrasound Data

Determining the differential diagnosis of small scalp cysts identified on a fetus is difficult. In particular, many physicians have difficulty differentiating small meningoceles from small scalp cysts during the prenatal period. Volume contrast imaging increases contrast between tissues, thereby all...

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Main Authors: Akihiro Hasegawa, Masami Kono, Tokumasa Suemitsu, Yuki Ito, Tatsuya Hirotsu, Yuichiro Nonaka, Osamu Samura, Aikou Okamoto
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/crnm/7401673
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author Akihiro Hasegawa
Masami Kono
Tokumasa Suemitsu
Yuki Ito
Tatsuya Hirotsu
Yuichiro Nonaka
Osamu Samura
Aikou Okamoto
author_facet Akihiro Hasegawa
Masami Kono
Tokumasa Suemitsu
Yuki Ito
Tatsuya Hirotsu
Yuichiro Nonaka
Osamu Samura
Aikou Okamoto
author_sort Akihiro Hasegawa
collection DOAJ
description Determining the differential diagnosis of small scalp cysts identified on a fetus is difficult. In particular, many physicians have difficulty differentiating small meningoceles from small scalp cysts during the prenatal period. Volume contrast imaging increases contrast between tissues, thereby allowing an enhanced view of target structures. A 15 × 5 mm scalp cyst was identified on a fetus during a prenatal ultrasonography examination performed at 20 weeks of gestation. The cyst was not connected to the blood flow, and did not include the tissue of the brain parenchyma. Ventriculomegaly and other structural abnormalities were not observed. Based on these findings, we suspected a sinus pericranii or fetal epidermal cyst. The size of the fetal scalp cyst was stable, and the growth of the fetus remained normal until birth. The diagnosis of a small meningocele was confirmed postnatally, based on the results of a magnetic resonance imaging examination. Postnatal evaluation of offline volume contrast imaging of prenatal three-dimensional ultrasound data at 22 weeks of gestation revealed a skull bone defect beneath the cyst. Volume contrast imaging can facilitate the prenatal diagnosis of small meningoceles by detecting bone defects on the fetal head.
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issn 2090-6676
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publishDate 2025-01-01
publisher Wiley
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series Case Reports in Neurological Medicine
spelling doaj-art-8149ddbbf5c549bbb444bdd92255b3602025-08-20T02:59:31ZengWileyCase Reports in Neurological Medicine2090-66762025-01-01202510.1155/crnm/7401673Parietal Meningocele Under the Scalp of a Fetus Diagnosed Based on Volume Contrast Imaging of Prenatal Three-Dimensional Ultrasound DataAkihiro Hasegawa0Masami Kono1Tokumasa Suemitsu2Yuki Ito3Tatsuya Hirotsu4Yuichiro Nonaka5Osamu Samura6Aikou Okamoto7Department of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of NeurosurgeryDepartment of NeurosurgeryDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDetermining the differential diagnosis of small scalp cysts identified on a fetus is difficult. In particular, many physicians have difficulty differentiating small meningoceles from small scalp cysts during the prenatal period. Volume contrast imaging increases contrast between tissues, thereby allowing an enhanced view of target structures. A 15 × 5 mm scalp cyst was identified on a fetus during a prenatal ultrasonography examination performed at 20 weeks of gestation. The cyst was not connected to the blood flow, and did not include the tissue of the brain parenchyma. Ventriculomegaly and other structural abnormalities were not observed. Based on these findings, we suspected a sinus pericranii or fetal epidermal cyst. The size of the fetal scalp cyst was stable, and the growth of the fetus remained normal until birth. The diagnosis of a small meningocele was confirmed postnatally, based on the results of a magnetic resonance imaging examination. Postnatal evaluation of offline volume contrast imaging of prenatal three-dimensional ultrasound data at 22 weeks of gestation revealed a skull bone defect beneath the cyst. Volume contrast imaging can facilitate the prenatal diagnosis of small meningoceles by detecting bone defects on the fetal head.http://dx.doi.org/10.1155/crnm/7401673
spellingShingle Akihiro Hasegawa
Masami Kono
Tokumasa Suemitsu
Yuki Ito
Tatsuya Hirotsu
Yuichiro Nonaka
Osamu Samura
Aikou Okamoto
Parietal Meningocele Under the Scalp of a Fetus Diagnosed Based on Volume Contrast Imaging of Prenatal Three-Dimensional Ultrasound Data
Case Reports in Neurological Medicine
title Parietal Meningocele Under the Scalp of a Fetus Diagnosed Based on Volume Contrast Imaging of Prenatal Three-Dimensional Ultrasound Data
title_full Parietal Meningocele Under the Scalp of a Fetus Diagnosed Based on Volume Contrast Imaging of Prenatal Three-Dimensional Ultrasound Data
title_fullStr Parietal Meningocele Under the Scalp of a Fetus Diagnosed Based on Volume Contrast Imaging of Prenatal Three-Dimensional Ultrasound Data
title_full_unstemmed Parietal Meningocele Under the Scalp of a Fetus Diagnosed Based on Volume Contrast Imaging of Prenatal Three-Dimensional Ultrasound Data
title_short Parietal Meningocele Under the Scalp of a Fetus Diagnosed Based on Volume Contrast Imaging of Prenatal Three-Dimensional Ultrasound Data
title_sort parietal meningocele under the scalp of a fetus diagnosed based on volume contrast imaging of prenatal three dimensional ultrasound data
url http://dx.doi.org/10.1155/crnm/7401673
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