Choroid plexus cyst generally refers to small cysts scattered in the choroid plexus of the lateral ventricle found through ultrasound examination during the development of the fetus between 14 and 24 weeks of pregnancy. Generally, this cyst phenomenon will disappear after 26 weeks of pregnancy, but in a small number of patients, the cyst may increase in size, which may be worrying for pregnant women. In most children, this cyst will disappear, so of course it is necessary to check it out in time. How to eliminate choroid plexus cysts? Pathological choroidal cysts are cysts larger than 5 mm that appear on the choroid. For this type of cyst detected by ultrasound, we need to pay attention to the differentiation between physiology and pathology. What does the pathological condition relate to? In fact, it is related to trisomy 18. The fetus has chromosomal abnormalities. The fetus has choroid plexus cysts with trisomy 18. Attention should be paid to excluding physiological cysts. There is no need to worry before 18 weeks, because the cysts of many fetuses will gradually disappear after 18 weeks, which is normal for children. If it does not disappear after 18 weeks or even grows slowly, we should consider it as trisomy 18 based on the combined malformations. The prognosis of a simple choroidal cyst is relatively good. If there is no heart malformation or other malformations, trisomy 18 can be ruled out. The prognosis of a simple choroidal cyst is relatively good, and it will slowly be absorbed after birth, so there is no need to worry. Don't panic after discovering fetal choroid plexus cyst. Pregnant mothers should maintain a good attitude. It is more realistic to wait patiently and supplement nutrition. It is recommended to check it out around 15 weeks. You can take Fushifu or continue to supplement folic acid for one month, eat more fresh fish, and eat almonds twice a week (not too much each time). You can drink pure milk, or if possible, spend a little more money to buy regular DHA supplements from a large hospital and take them every other day. Do not drink too much water, because most choroid plexus cysts are found to be accompanied by mild polyhydramnios during diagnosis. Most people with bilateral cysts don't need to worry too much. The presence of choroid plexus cysts during fetal development is a normal phenomenon and it can be said with certainty that it will not affect the child's intelligence level in the future. diagnosis 1. Cystic dark areas are seen within the strong echo of the choroid plexus, with thin cystic walls, smooth and neat edges, and mostly round in shape. Cysts can be single or multiple. 2. Dynamically observe the size of the cyst. If the cyst is less than 1 cm or getting smaller, the possibility of chromosomal abnormality is small. At the same time, attention should be paid to checking whether there are new malformations in other parts. Sometimes after the choroid plexus cyst is detected by ultrasound, other malformations cannot be detected. However, some scholars believe that the size, number, bilaterality or unilaterality, and whether the choroid plexus cyst is progressively reduced or disappears will not change the risk of the fetus suffering from chromosomal abnormalities. When a choroid plexus cyst is detected, amniocentesis for amniotic fluid cells or umbilical cord blood culture should be performed in combination with other clinical data to rule out chromosomal abnormalities such as trisomy 18 and trisomy 21. |
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