Abstract
We report a unique case of cobblestone complex using post-mortem MR and diffusion tensor imaging to assess the laminar organization of the fetal cerebrum. The imaging findings were correlated with autopsy findings. Abnormal cortical development in cobblestone complex resulted in disruption of normal laminar organization of the fetal brain, which was seen as interruption and nodularity of the high-signal T1 cortical band with increased anisotropy and medium diffusivity extending beyond the cortical band into the cerebral mantle on post-mortem MR and diffusion tensor imaging.
Similar content being viewed by others
References
Barkovich AJ (2005) Pediatric neuroimaging. Lippincott Williams and Wilkins, Philadelphia
Longman C, Mercuri E, Cowan F et al (2004) Antenatal and postnatal brain magnetic resonance imaging in muscle-eye-brain disease. Arch Neurol 61:1301–1306
Huppert BJ, Brandt KR, Ramin KD et al (1999) Single-shot fast spin-echo MR imaging of the fetus: a pictorial essay. Radiographics 19 Spec No:S215–S227
Maas LC, Mukherjee P, Carballido-Gamio J et al (2004) Early laminar organization of the human cerebrum demonstrated with diffusion tensor imaging in extremely premature infants. Neuroimage 22:1134–1140
Chong BW, Babcook CJ, Salamat MS et al (1996) A magnetic resonance template for normal neuronal migration in the fetus. Neurosurgery 39:110–116
Kostovic I, Judas M, Rados M et al (2002) Laminar organization of the human fetal cerebrum revealed by histochemical markers and magnetic resonance imaging. Cereb Cortex 12:536–544
Brisse H, Fallet C, Sebag G et al (1997) Supratentorial parenchyma in the developing fetal brain: in vitro MR study with histologic comparison. AJNR 18:1491–1497
McKinstry RC, Mathur A, Miller JH et al (2002) Radial organization of developing preterm human cerebral cortex revealed by non-invasive water diffusion anisotropy MRI. Cereb Cortex 12:1237–1243
Acknowledgements
This study was supported by the Department of Medical Imaging, University of Toronto, Medical Imaging Research and Development Award.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Widjaja, E., Geibprasert, S., Blaser, S. et al. Abnormal fetal cerebral laminar organization in cobblestone complex as seen on post-mortem MRI and DTI. Pediatr Radiol 39, 860–864 (2009). https://doi.org/10.1007/s00247-009-1255-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-009-1255-0