|ECR 2019 / C-3517|
|Puzzles of Pediatric Congenital Central Nervous System Malformation : A Pictorial Essay|
Central nervous system anomalies are one of the most frequently encountered anomalies with an estimated incidence of 1 per 100 births .
Congenital anomalies can be broadly categorized into disorders of organogenesis, histogenesis, cytogenesis, disorders of myelination and miscellaneous malformations.
It’s of paramount importance for every pediatric clinician and radiologist to be familiar of imaging patterns of various congenital brain malformation on cross sectional imaging (CT/MRI). Here we review the presenting features and imaging patterns of common and uncommon anomalies presented to our department.
USG play an important role in setting preliminary diagnosis of brain anomalies but it is an observer dependent technique. In hands of skilled operator it provides adequate information regarding fetal norms . MRI is used for further confirmation of initial findings seen on ultrasound due to multiplanar and multisequential sequences and best soft tissue detail. Moreover, beauty of MRI is to depict myelination and sulcation. . Thus MR is a novel addition in contrast to ultrasound not only helping in definitive diagnosis but also for parental counseling and guiding management .