Fetal schizencephaly

Last revised by Arlene Campos on 22 Aug 2024

Fetal schizencephaly refers to schizencephaly diagnosed in utero. Usually only open lips types can be diagnosed antenatally.

Radiographic features

Ultrasound
  • may show a unilateral or bilateral defect extending from the pial surface to the ventricular wall

  • there may be other features such as

Fetal MRI
  • fetal MRI is performed to confirm the cleft is grey matter lined which distinguishes this entity from porencephalic cyst

  • it is more sensitive at detecting close lip schizencephaly than ultrasound

  • it is also useful to confirm the presence of associated anomalies

Practical points

Similar abnormalities in the posterior fossa are called cerebellar clefts and may occur simultaneously with fetal schizencephaly. 

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