{"id":1195,"date":"2018-02-05T16:08:15","date_gmt":"2018-02-05T16:08:15","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1195"},"modified":"2018-02-05T16:14:04","modified_gmt":"2018-02-05T16:14:04","slug":"ijar-2017-520","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-520","title":{"rendered":"IJAR.2017.520"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.6.1\/IJAR.2017.520.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-6-1.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 1.2 (February 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a04947-4950<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.520<\/h3>\n<h3 style=\"text-align: justify;\">TRANSVERSE CEREBELLAR DIAMETER-AN ULTRASONOGRAPHIC PARAMETER FOR ESTIMATION OF GESTATIONAL AGE AND GRADING OF FETAL CEREBELLAR GROWTH<\/h3>\n<p style=\"text-align: justify;\"><strong>Sandhyarani M.Patil *<sup>1<\/sup>, Mahadeo R.Patil <sup>2<\/sup>, Swati Gaikwad <sup>3<\/sup>.<\/strong><\/p>\n<p><sup>*1<\/sup> Associate Professor, Department of Anatomy, Rajarshee Chhatrapati Shahu Maharaj\u00a0 Govt. Medical College, Kolhapur, India.<\/p>\n<p><sup>2<\/sup> Assistant Professor, Department of Surgery, Dr. D. Y. Patil Medical College, Kolhapur, India.<\/p>\n<p><sup>3<\/sup> Radiologist, Apple Diagnostic Centre, Pune, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding author:<\/strong> Dr.Sandhyarani M.Patil, Associate Professor, Department of Anatomy, Rajarshee Chhatrapati Shahu Maharaj\u00a0 Govt. Medical College, Kolhapur, India.\u00a0<strong>E-Mail:<\/strong> drsandhyapatil.2009@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Introduction:<\/strong> Several parameters are used for the estimation of gestational age by ultrasonography. Measurement and demonstration of fetal cerebellum is a new and unique parameter of fetal brain growth and also useful for assessment of gestational age. The cerebellum is part of hindbrain and lies in posterior cranial fossa. In the embryo it appears at the end of 5<sup>th<\/sup> week of intrauterine life.<\/p>\n<p style=\"text-align: justify;\"><strong>Aim:<\/strong> 1. To measure and correlate transvrerse cerebellar diameter (TCD) with fetal gestational age (GA) and derive regression equation. 2. To evaluate cerebellar growth pattern by ultrasonographic cerebellar grading.<\/p>\n<p style=\"text-align: justify;\"><strong>Material and Methods: <\/strong>This\u00a0 prospective study was carried out on 100 pregnant women between12-40 weeks of pregnancy attending the R.C.S.M. Govt. Medical College Kolhapur for routine ultrasound examination,Transverse cerebellar diameter was measured and cereballar grading was done by ultrasongraphically.<\/p>\n<p style=\"text-align: justify;\"><strong>Results: <\/strong>We observed a linear correlation between TCD and GA (correlation coefficients-r=0.995,\u00a0 p=0.000 ) Fetal cerebella were found to be 61,15 and 24% cases as grade I,II and III respectively.The grade changed from I to III with advancing gestational age. The median gestational age and TCD were 18.42 weeks\u00a0 and 1.9cm\u00a0 for grade I, and 28.42 weeks and 3.3cm\u00a0 for grade II and 35.99 weeks\u00a0 and 4.2cm\u00a0 for grade III.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> Regression analysis indicated a strong relationship between TCD and gestational age indicating TCD can be used as reliable parameter for estimation of gestational age.Its grading can be used in evaluation of development of fetus.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> TCD, Gestational Age, Cerebellar Grading, Ultrasonograph.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Wiliam PL Gray\u2019s Anatmy,38<sup>th<\/sup> edition,Churchill Livingstone Edinburgh; London.1995 p-1027-1028.<\/li>\n<li style=\"text-align: justify;\">Richard D Mcllary Lawrence R Kuhns, Mason Barr J. Ultrasnography of the fetal cerebellum.Radiology 1984;151:439-442.<\/li>\n<li style=\"text-align: justify;\">Reece EA,Goldstein I,Pilu G.Fetal cerebellar growth unaffected by intrauterine growth retardation new parameter for prenatal diagnosis.Am.J.Obstet Gynecol.1987;157;632-82.<\/li>\n<li style=\"text-align: justify;\">Mark W Davies MS,and Frex Measurement of transverse cerebellar diameter in preterm neonates and its use in assessment of gestational age. Australian Radiolo gy 2001;45(3)309-312.<\/li>\n<li style=\"text-align: justify;\">Montenegro NA, Leite LP Fetal cerebellar diameter in second trimester ultrasonography clinical value.J Perinat\u00a0 Med\u00a0 1989;5;365-369.<\/li>\n<li style=\"text-align: justify;\">Dr Faiza Naseem Dr Sabir Ali, Dr Umbreen Basit,Dr Naheed Fatima. Assessment of gestational age comparison between transcerebellar diameter versus femur length on ultrasound in 3<sup>rd<\/sup> trimesterof pregnancy.Professional Medical J. 2014;2:412-417.<\/li>\n<li style=\"text-align: justify;\">Malik R ,Pandya VK,Shrivastava P.Gestationa age estimation using trans cerebellar diameter with grading of fetal cerebellum and evaluation of TCD\/AC (transverse cerebellar diameter \/abdominal circumference) ratio as a gestational age independent parameter.Indian J Radiol Imaging. 2003;13;95-7.<\/li>\n<li style=\"text-align: justify;\">Kramer MS,Mclean FM,Boyd ME,Usher RH. The validity of gestational age estimation by menstrual dating in term,preterm,and post-term gestation. JAMA 1988;260;3306.<\/li>\n<li style=\"text-align: justify;\">McLeary RD,Kuhans LR,Barr M Jr.ultrasonography of fetal cerebellum.Radiology 1984;151 (2),439-42.<\/li>\n<li style=\"text-align: justify;\">Gaudette S,Nimrod C.Transverse cerebellar diameter in twin gestation.Am. J.Obstet Gynecol.1992;167(1);1004-8.<\/li>\n<li style=\"text-align: justify;\">Hill LM,GuzickD,Fries J,Hixson J,Rivello D the Transverse Cerebellar Diameter in estimating gestational age in large for gestational age foetus.Obstet.\u00a0\u00a0 1990 ;75;981-5.<\/li>\n<li style=\"text-align: justify;\">Cabbad M,Kofinas A,Simon N ,King K,Lyttle E.Fetal weight-cerebellar diameter discordance as an indicator of asymmetrical fetal growth impairment.J Reprod. Med. 1992;37;794-8.<\/li>\n<li style=\"text-align: justify;\">Zecevic N,Rakic P Differentiation of purkinje cells and their relationship to other components of the developing cerebellar cortex in man.J Comp Neurol.1976;176;27-47.<\/li>\n<li style=\"text-align: justify;\">Selzer ME ,Myers RE,Holstein SB Maturational changes in brain water and electrolytes in rhesus monkey with some implications for electrogenesis.Brain Res.1972;45;193-204.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Sandhyarani M.Patil, Mahadeo R.Patil, Swati Gaikwad. TRANSVERSE CEREBELLAR DIAMETER-AN ULTRASONOGRAPHIC PARAMETER FOR ESTIMATION OF GESTATIONAL AGE AND GRADING OF FETAL CEREBELLAR GROWTH. Int J Anat Res 2018;6(1.2):4947-4950.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2017.520\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 1.2 (February 2018) Page No.:\u00a04947-4950 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.520 TRANSVERSE CEREBELLAR DIAMETER-AN ULTRASONOGRAPHIC PARAMETER FOR ESTIMATION OF GESTATIONAL AGE AND GRADING OF FETAL CEREBELLAR GROWTH Sandhyarani M.Patil *1, Mahadeo R.Patil 2, Swati Gaikwad 3. *1 Associate Professor, Department of Anatomy, Rajarshee Chhatrapati Shahu Maharaj\u00a0 Govt. Medical College, Kolhapur, India. 2 Assistant<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-520\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1195"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1195"}],"version-history":[{"count":3,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1195\/revisions"}],"predecessor-version":[{"id":1198,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1195\/revisions\/1198"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}