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This study describes the neurosonographic findings that diagnose or suggest the presence of malformations of cortical development in the cortex before 24 weeks of gestation. The study involved 20 fetuses, with a mean gestational age at diagnosis of 18.7 weeks, and reasons for referral included midline anomaly, ventriculomegaly, infratentorial findings, and suspected malformation of cortical development. Familiarity with fetal brain anatomy and its early sonographic landmarks allowed early diagnosis of malformations involving cortical development. The presence of an abnormal cortical layer and/or abnormal overdeveloped sulci appears to be early signs of malformation of cortical development. The study found that all patients had associated malformations, and the majority opted for termination of pregnancy.
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