Evaluation of sonographic fingdings and lesion level in relation to diagnosis week in pregnancies diagnosed with intrauterine neural tube defects

Aim: The purpose of our study is to evaluate the relationship of sonographic findings and lesion level with diagnostic week in pregnancies diagnosed as intrauterine neural tube defect. Materails and Methods: This study was carried out by T.C. İstanbul Bilim Univercity Florence Nightingale Hospital is retrospective statistical data base for the gynecology and obstetrics clinic between january 2015 and december 2017 with 64 pregancies with meningomyelocele diagnosis, ultrasonographic spinal lesion level, MMC pouch diameter and cranial findings, prenatal initial diagnosis week compared; After 20th gestation week, spinal lesion level and MMC pouch diameter and leg movements observed with ultrasonography and all are born babies leg movements were compared postoperatively after C/S within 1 hour. In the study, lesion level was divided into two groups as the most frequently observed lomber and others. Conclusions: There was no significant difference between spinal lesion level, cranial finding and prenatal first diaognostic week. Intrauterine leg movements were significantly lower in the lomber MMC fetuses compared to other lesion levels, but no difference was observed in postpartum. Neural tube defects are partly preventable public health problems. Early diagnosis/diagnosis in pregnancy, assesement of postnatal life-time effects of intrauterine lesion, medical evacuation, intrauterin fetal surgery, preparation for the material and spiritual waiting for the family is important.Key words: Neural tube defects, prenatal diagnosis, fetal malformations, meningomyelocele, pregnancy