COMPLICATIONS OF FETAL VENTRICULOMEGALY AND THEIR SIGNIFICANCE IN PERINATAL PRACTICE

Abstract

Fetal ventriculomegaly is an ultrasound finding characterized by dilatation of the atria of the lateral cerebral ventricles to more than 10 mm. This condition is of considerable clinical importance in obstetrics and perinatology, as it may be associated with various neurological, genetic, and structural abnormalities of central nervous system development. The main complications of ventriculomegaly include delayed psychomotor development, motor and cognitive impairments, epileptic seizures, the development of hydrocephalus, and associated congenital brain abnormalities. The severity of complications depends on the degree of ventricular enlargement, the etiology of the pathological process, the presence of associated congenital anomalies, and the dynamics of changes during pregnancy. Progressive and non-isolated ventriculomegaly are of particular concern, as they are associated with an increased likelihood of adverse neurological and perinatal outcomes. Timely prenatal diagnosis, comprehensive fetal assessment, and dynamic monitoring make it possible to evaluate the risk of complications, determine the prognosis, and select the optimal pregnancy management strategy.