Evidence map›Paper›PMID 37059118›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

Obliterated cavum septi pellucidi: Clinical significance and role of fetal magnetic resonance.

Ilaria Fantasia, Claudia Ciardo, Gabriella Bracalente, Elisa Filippi, Flora Maria Murru, Anita Spezzacatene, Maura Bin, Olivia Mendez Quintero, Elisa Montaguti, Christoph Lees and 5 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 8 institutions in 2 countries.

Ilaria FantasiaUnit of Fetal Medicine, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.ORCID 0000-0003-4340-7225
Claudia CiardoDepartment of Gynecology and Obstetrics, Ospedale Fracastoro, San Bonifacio, Italy.
Gabriella BracalenteUOC Gynecology and Obstetrics, Ospedale Cà Foncello Treviso, Treviso, Italy.
Elisa FilippiUOC Gynecology and Obstetrics, Ospedale Cà Foncello Treviso, Treviso, Italy.
Flora Maria MurruRadiology Service, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
Anita SpezzacateneRadiology Service, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
Maura BinDivision of Child Neurology and Psychiatry, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
Olivia Mendez QuinteroFetal Medicine Unit, Saint George's Hospital, London, UK.
Elisa MontagutiObstetric Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Christoph LeesCentre for Fetal Care, Queen Charlotte's & Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK.ORCID 0000-0002-2104-5561
Katherine PapanikolaouCentre for Fetal Care, Queen Charlotte's & Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK.
Gianluigi PiluObstetric Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Federico PrefumoObstetrics and Gynecology Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0001-7793-714X
Baskaran ThilaganathanFetal Medicine Unit, Saint George's Hospital, London, UK.
Tamara StampalijaUnit of Fetal Medicine, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.ORCID 0000-0002-9080-3848
IRCCS Materno Infantile Burlo Garofolo · ITAzienda USL di Bologna · ITCa' Foncello Hospital · ITImperial College Healthcare NHS Trust · GBSt George's Hospital · GBAzienda Ospedaliera Bolognini Seriate · ITIstituto Giannina Gaslini · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of this study was to describe a cohort of fetuses with an ultrasound prenatal diagnosis of obliterated cavum septi pellucidi (oCSP) with the aim to explore the rate of associated malformations, the progression during pregnancy and the role of fetal magnetic resonance imaging (MRI). MATERIAL AND

methodsThis was a retrospective multicenter international study of fetuses diagnosed with oCSP in the second trimester with available fetal MRI and subsequent ultrasound and/or fetal MRI follow-up in the third trimester. Where available, postnatal data were collected to obtain information on neurodevelopment.

resultsWe identified 45 fetuses with oCSP at 20.5 weeks (interquartile range 20.1-21.1). oCSP was apparently isolated at ultrasound in 89% (40/45) and fetal MRI found additional findings in 5% (2/40) of cases, including polymicrogyria and microencephaly. In the remaining 38 fetuses, fetal MRI found a variable amount of fluid in CSP in 74% (28/38) and no fluid in 26% (10/38). Ultrasound follow-up at or after 30 weeks confirmed the diagnosis of oCSP in 32% (12/38) while fluid was visible in 68% (26/38). At follow-up MRI, performed in eight pregnancies, there were periventricular cysts and delayed sulcation with persistent oCSP in one case. Among the remaining cases with normal follow-up ultrasound and fetal MRI findings, the postnatal outcome was normal in 89% of cases (33/37) and abnormal in 11% (4/37): two with isolated speech delay, and two with neurodevelopmental delay secondary to postnatal diagnosis of Noonan syndrome at 5 years in one case and microcephaly with delayed cortical maturation at 5 months in the other.

conclusionsApparently isolated oCSP at mid-pregnancy is a transient finding with the visualization of the fluid later in pregnancy in up to 70% of cases. At referral, associated defects can be found in around 11% of cases at ultrasound and 8% at fetal MRI indicating the need for a detailed evaluation by expert physicians when oCSP is suspected.

Indexed as

Clinical RelevanceMicrocephalyFemaleFetusHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyPregnancyRetrospective StudiesUltrasonography, Prenatalcavum septi pellucidifetal brainfetal magnetic resonanceneurosonographypostnatal neurodevelopmental outcome

Identifiers

PMID37059118
PMCPMC10201966
OpenAlexW4365503376

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.