Twin-twin transfusion syndrome - fetal MRI

Discussion:

This case demonstrates features of twin-twin transfusion syndrome with fetal MRI, prior to and after successful laser photocoagulation.

Both fetal brains are mildly abnormal. The donor twin has borderline ventriculomegaly, and the recipient twin has a small, established left frontal hemorrhagic infarct. Fetal cerebral appearances including sulcation and lamination are otherwise normal and age appropriate. Annotated images address the features of normal fetal brain development at 20 weeks which are seen in this case.

Case courtesy of Prof Stacy Goergen.

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