RT Journal Article SR Electronic T1 MR Imaging Diagnosis of Diencephalic-Mesencephalic Junction Dysplasia in Fetuses with Developmental Ventriculomegaly JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1643 OP 1646 DO 10.3174/ajnr.A5245 VO 38 IS 8 A1 Severino, M. A1 Righini, A. A1 Tortora, D. A1 Pinelli, L. A1 Parazzini, C. A1 Morana, G. A1 Accorsi, P. A1 Capra, V. A1 Paladini, D. A1 Rossi, A. YR 2017 UL http://www.ajnr.org/content/38/8/1643.abstract AB SUMMARY: Diencephalic-mesencephalic junction dysplasia is a rare malformation characterized by a poorly defined junction between the diencephalon and the mesencephalon, associated with a characteristic butterfly-like contour of the midbrain (butterfly sign). This condition may be variably associated with other brain malformations, including callosal abnormalities and supratentorial ventricular dilation, and is a potential cause of developmental hydrocephalus. Here, we have reported 13 fetuses with second-trimester obstructive ventriculomegaly and MR features of diencephalic-mesencephalic junction dysplasia, correlating the fetal imaging with available pathology and/or postnatal data. The butterfly sign can be clearly detected on axial images on fetal MR imaging, thus allowing for the prenatal diagnosis of diencephalic-mesencephalic junction dysplasia, with possible implications for the surgical management of hydrocephalus and parental counseling.DMJdiencephalic-mesencephalic junction