Pediatric Neurological Surgeon Questions Ventriculomegaly

Ventriculomegaly: 20 week scan showed high range of normal 9mm

I went in for my 20 week ultrasound. Everything seemed great and then the doctor came in and said one of the ventricles measured 9mm which is the high end of normal(boy) and they want me to come back in two weeks to remeasure. Does this most often stay within normal or do I have to be very worried about this increasing for the rest of my pregnancy. I am already a highly anxious person and I am so scared of what can happen, or raising a child with disabilities. Please weigh in if you can.

Female | 35 years old

2 Answers

Hello,

The first thing I want to tell you is to make sure you do is follow the advice of your provider.

The outcome for a fetus with ventriculomegaly depends on multiple factors, including the
Severity Mild ventriculomegaly 1012 mm generally has a good prognosis, with most babies having normal neurodevelopment. Moderate 1315 mm and severe 16 mm or greater ventriculomegaly might be associated with a higher risk of developmental delay.
If there are other abnormalities noted on ultrasound in addition to the ventriculomegaly, if there are known structural or genetic abnormalities, the prognosis may be more concerning. If your provider is reassuring you at this time, hopefully that is a good sign.

Most cases of ventriculomegaly are mild and resolve on their own without intervention. Close follow up is warranted to make sure it does not progress. However, in severe cases or when hydrocephalus excessive CSF develops, treatment may be necessary, potentially including surgical intervention. Regular monitoring of the fetus is essential to track the progress.

At this time your provider wants to watch you and your baby.
It is difficult to say. If this is the only issue they noted, I would not be too worried, just wait for the follow-up ultrasounds. It could just be normal for your baby. Even babies with enlarged ventricles can grow up completely normal. So please, try to be optimistic. Regardless, when you see this new baby, you will be in love!