Persistent reversed end‐diastolic flow of the middle cerebral artery: A rare and concerning finding

2021 ◽  
Author(s):  
Natthicha Chainarong ◽  
Chitkasaem Suwanrath ◽  
Manaphat Suksai
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Diastolic Flow

Reversed diastolic flow in the middle cerebral artery: is it a terminal sign in a growth-retarded fetus?

2003 ◽  
Vol 23 (3) ◽  
pp. 265-267 ◽  
Author(s):  
Wing Cheong Leung ◽  
Ka Yu Tse ◽  
Mary Hoi Yin Tang ◽  
Terence T. Lao
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Diastolic Flow

scholarly journals Correlation of efficacy of cerebro placental ratio with adverse perinatal outcome in clinically suspected IUGR pregnancies

2018 ◽  
Vol 7 (5) ◽  
pp. 1808
Author(s):  
Geeta Singh ◽  
Neerja Gupta ◽  
Sangeeta Singhal ◽  
Pramod Kishor Sharma
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Perinatal Outcome ◽  
Pulsatility Index ◽  
Umbilical Artery ◽  
Doppler Velocity ◽  
Wave Form ◽  
Adverse Perinatal Outcome ◽  
Diastolic Flow ◽  
Ultrasound Evaluation

Background: IUGR is a most common and complex problem in modern obstetrics. Most commonly use methods to assess fetal condition are BPP and NST which are not sensitive for predicting better perinatal outcome.  Present study was an effort to evaluate the role of ratio of pulsatility index (PI) of middle cerebral artery and umbilical artery which is called cerebro placental ratio as the most sensitive, specific and accurate predictor of adverse perinatal outcome in clinically suspected IUGR Pregnancies.Methods: 50 clinically suspected IUGR Pregnancies attending antenatal clinics Muzaffarnagar Medical College and Hospital, Muzaffarnagar were subjected to Doppler ultrasound evaluation Doppler velocity wave form of umbilical artery and fetal middle cerebral artery were obtained. Pulsatility index ratio of MCA and umbilical artery (cerebro placental ratio) was evaluated in each case. Abnormal ratio is defined as CPR<1.08 considered as cut of value. Ratio was coo related clinically with perinatal outcome.Results: Out of 50 antenatal cases, 63% neonates had birth weight <2.5 kg. There were 6 IUD’S and 44 live births, 9 neonates were admitted to NICU, 7 neonates had 5 min. APGAR score <7 and 13 neonates were born by emergency CS. Of the 6 IUDS, 4 cases had reversal of blood flow umbilical artery and 2 cases had absent diastolic flow. In all cases of reversal Diastolic flow, IUD occurred within 7 days of diagnosis. Conclusions: CPR is the most sensitive, specific and accurate parameter in prediction of adverse perinatal outcome and thus can help in decreasing perinatal mortality.

Middle Cerebral Artery Velocity Waveforms in Fetuses with Absent Umbilical Artery End-Diastolic Flow

Neonatology ◽  
1995 ◽  
Vol 67 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Marko Mimica ◽  
Lidija Pejković ◽  
Ivanka Furlan ◽  
Denis Vulić-Mladinić ◽  
Tanja Praprotnik
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Umbilical Artery ◽  
Diastolic Flow

scholarly journals Persistent reversed end diastolic flow in the fetal middle cerebral artery: an ominous finding

Ultrasound ◽  
2015 ◽  
Vol 23 (3) ◽  
pp. 186-189 ◽  
Author(s):  
FC Brownfoot ◽  
CA Cluver ◽  
SP Walker
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Diastolic Flow

scholarly journals Role of Ultrasonography in Screening High Risk Mothers for Detection of IUGR

2021 ◽  
Vol 8 (11) ◽  
pp. 106-112
Author(s):  
Gattani Chandrashekhar M ◽  
Reddy Pradeep
Keyword(s):  
High Risk ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Perinatal Outcome ◽  
Growth Restriction ◽  
Adverse Perinatal Outcome ◽  
Diastolic Flow ◽  
Foetal Monitoring ◽  
The Impact

Introduction: The 10th percentile of expected foetal weight for gestational age is classified as intrauterine growth restriction (IUGR) or foetal growth restriction. IUGR occurs for a variety of reasons. Any issue with the placenta is a major contributor. Aims and objectives: 1) To determine the role of ultrasonography in screening high risk mothers for detection of IUGR. 2) To find out the impact of fetal parameters on the extent of IUGR.3) For correlation between sonographic pattern of IUGR and the birth weight. 4) For correlation between doppler parameters and perinatal outcome. Materials and methods: This is a prospective study done over a period of 2 years in Mamata General Hospital (MGH) from Oct 2017 to Oct 2019. Study included 50 pregnant women with high risk factors and clinically suspected IUGR attending for ultrasound examination were subjected to Uterine, Umbilical and Middle cerebral artery Doppler along with morphology and biometry scan after fulfilling the inclusion and exclusion criteria. Results: Reverse, absence or slow end diastolic flow was considered abnormal which was seen in 33 patients. Nine patients had Absent /Reversed end diastolic flow of which, 3 patients had IUD, 4 had Still births, 2 were admitted in NICU with apgar at 1min <7. Middle cerebral artery was abnormal in 10 patients, of which 8 patients had IUGR babies with adverse perinatal outcome. MCA/UA S.D ratio, which was abnormal in 19 patients of which 16 patients had adverse perinatal outcome. Conclusion: Doppler has proven to be more sensitive than other methods of foetal monitoring in recognising fetal compromises early and assisting in the proper time of delivery. Keywords: Ultrasonography, doppler, IUGR.

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