Accuracy of Transcerebellar Diameter in Detection of Gastational Agein Third Trimester in Cases of Intra Utrine Growth Restriction

Authors

  • Youssef Abo Elwan El-Sayed Author
  • Mohamed El Sayed Mohamed Author
  • Walid Abdallah Abdel Salamand Author
  • Rana Ramadan Ibrahim Soliman Author

DOI:

https://doi.org/10.61841/3cw15964

Keywords:

Transcerebellar Diameter, Intrauterine Growth Restriction, Gestational Age

Abstract

 The transverse cerebellar diameter (TCD) serves as a valid indicator of GA in the fetus and is a standard against which aberrations in other fetal parameters may be compared. The main goal of this research was to evaluate accuracy of transcerebellar diameter (TCD) in detection of gestational age in pregnancies with intrauterine growth restriction IUGR.   A case-Control study was carried out in department of Obstetrics and Gynecology at Zagazig University Hospital from June 2019 to Mars 2020. Included 52 women with normally progressing pregnancies during the third trimesters, 26 patients of them were normal pregnancies and 26 patients complains from IUGR in 3rd trimester at gestational age (27week to 37 week). Transabdominal ultrasound was performed on all patients, Fetal TCD was measured using the widest diameter of the cerebellum, measurement of fetal Bi-Parietal Diameter (BPD), Abdominal Circumference (AC), and Femur Length (FL).   There were positive correlation between GA by Last Menstrual Period (LMP) and sonar parameters at normal group in all parameters but highest was TCD with P value 0.000, but at IUGR group only TCD, AC and FL were significantly positive correlated with GA; and TCD were highly significant, both HC and BPD were irrelevant 

Downloads

Download data is not yet available.

References

1. Gottlieb AG, Galan HL. Nontraditional sonographic pearls in estimating gestational age. Semin. Perinatol.

154-160 (2008).

2. Whitworth M, Bricker L, Neilson JP et al. Ultrasound for fetal assessment in early pregnancy. Cochrane.

Database. Syst. Rev. 4 (2010).

3. Mohammed EE, Alashkar OS, Abdeldayem TM, Mohammed SA. The use of low dose sildenafil citrate in

cases of intrauterine growth restriction. Clin Obstet Gynecol Reprod Med, 2017; 3(4), 1-5.‏

4. Goel P, Singla M, Ghai R, Jain S, Budhiraga V, Babu R. Transverse cerebellar diameter-a marker for

estimation of gestational age. J Anat Soc. India. 2010; 59(2): 158-161.

5. Kalish RB, Chervenak F. Sonographic determination of gestational age. TMJ 2009; 59: 202–208.

6. Araujo Júnior E, Pires CR, Nardozza LM, Filho HA, Moron AF. Correlation of the fetal cerebellar volume

with other fetal growth indices by three-dimensional ultrasound. J Matern Fetal Neonatal Med. 2007; 20:

581–587.

7. Naseem F, Ali S, Basit U, Fatima N. Assessment of gestational age; comparison between transcerebellar

diameter versus femur length on ultrasound in third trimester of pregnancy. Professional Med J. 2014; 21(2):

412-417.

8. Naseem F, Fatima N, Yasmeen S. Saleem S. Comparison Between Transcerebellar Diameter with Biparietal

Diameter of Ultrasound for Gestational Age Measurement in Third Trimester of Pregnancy. J Coll Physicians

Surg Pak. 2013; 23 (5): 322-5.

9. Satish-Prssad BS, Likhitha S. Cerebellar measurements with ultrasonography in evaluation of fetal age.

IOSR. J Dental and Med Sci. (IOSR- JDMS). 2014; 13(9): 49-56.

10. Vinkesteijn AS, Mulder PG, Wladimiroff JW. Fetal transverse cerebellar diameter measurements in normal

and reduced fetalgrowth. Ultrasound Obstet Gynecol; 2000; 15: 47-51.

11. Chavez MR, Ananth CV, Smulian JC, Vintzileos AM. Fetal transcerebellar diameter measured for prediction

of gestational age at the extremes of fetal growth. J Ultrasound Med. 2007; 26: 1167-71.

12. Afshan A, Nadeem S, Shamim AS. Fetal transverse cerebellar diameter measurement, a useful predictor of

gestational age in growth restricted fetuses. Professional Medical Journal, 2014; 21: 888-91.

13. Akl S, Mohammed M, Bahaa EA, Mohammed A. Accuracy of Transcerebellar Diameter at the Third

Trimester in Estimating the Gestational Age in Singleton Pregnancy. Med. J. Cairo Univ. 2014; 82(1): 879-

84.

14. Ananthareddy SM, Bahaddur A. Biometric parameter in estimation of the gestational age among IUGR: A

ultrasound based study. Am J Oral Med Radiol. 2016; 3(2): 73-76.

15. Reddy RH, Prashanth K, Ajit M. Significance of foetal transcerebellar diameter in foetal biometry: A pilot

study. J Clin Diagn Res. 2017; 11(6): 01-04.

16. Ali OE, Elsawy IR, Elbedewy AM. Comparative Study between Fetal Biometry and Transverse Cerebellar

Diameter in Estimating Gestational Age in Third Trimester. Egypt J Hospital Medicine, 2019; 75(4), 2673-

2678.

17. Lyndon MH, David Guzick, Joanne Fries, Hixson J, Rivello D. The transvezrse cerebellar diameter in

estimating gestational age in the large for gestational age fetus. Obstet Gynecol.1990; 75: 981.

Downloads

Published

28.02.2021

How to Cite

Abo Elwan El-Sayed, Y., El Sayed Mohamed, M., Abdallah Abdel Salamand, W., & Ramadan Ibrahim Soliman, R. (2021). Accuracy of Transcerebellar Diameter in Detection of Gastational Agein Third Trimester in Cases of Intra Utrine Growth Restriction. International Journal of Psychosocial Rehabilitation, 25(1), 44-56. https://doi.org/10.61841/3cw15964