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Fetal neurosurgery

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Abstract

Among fetal surgical procedures, neurosurgery stands out due to the number of cases and the possibility of developing new procedures that can be performed in the fetal period. To perform fetal neurosurgical procedures, there is a need for specialized centers that have experts in the diagnosis of fetal pathologies and a highly complex obstetrics service with specialized maternal–fetal teams associated with a pediatric neurosurgery center with expertise in the diverse pathologies of the fetus and the central nervous system that offers multidisciplinary follow-up during postnatal life. Services that do not have these characteristics should refer their patients to these centers to obtain better treatment results. It is essential that the fetal neurosurgical procedure be performed by a pediatric neurosurgeon with extensive experience, as he will be responsible for monitoring these patients in the postnatal period and for several years. The objective of this manuscript is to demonstrate the diagnostic and treatment possibilities, in the fetal period, of some neurosurgical diseases such as hydrocephalus, tumors, occipital encephalocele, and myelomeningocele.

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Authors and Affiliations

  1. Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros 715, 6th Floor, São Paulo, SP, 04024-002, Brazil

    Sergio Cavalheiro, Marcos Devanir Silva da Costa, Italo Capraro Suriano, Patricia Alessandra Dastoli & Jardel Mendonça Nicácio

  2. Department of Fetal Medicine, Hosptial e Maternidade Santa Joana, São Paulo, SP, Brazil

    Mauricio Mendes Barbosa, Cid Ura Kusano, Stéphanno Gomes Pereira Sarmento & Antonio Fernandes Moron

  3. Diagnostic Imaging Department, Neuroradiology Subdivision, Hospital do Coração, São Paulo, SP, Brazil

    Ana Carolina Ottaiano, Tomás de Andrade Lourenção Freddi & Nelson Paes Fortes Diniz Ferreira

  4. Teleimaging, São Paulo, SP, Brazil

    Ana Carolina Ottaiano, Tomás de Andrade Lourenção Freddi & Nelson Paes Fortes Diniz Ferreira

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  1. Sergio Cavalheiro
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Contributions

Sergio Cavalheiro: supervision, writing, reviewing, and editing. Marcos Devanir Silva da Costa: writing, data acquisition, editing, and reviewing. Mauricio Mendes Barbosa: writing, editing, and reviewing. Italo Capraro Suriano: editing and reviewing. Ana Carolina Ottaiano: writing, editing, and reviewing. Tomás de Andrade Lourenção Freddi: writing, editing, and reviewing. Nelson Paes Fortes Diniz Ferreira: writing, editing, and reviewing. Cid Ura Kusano: writing, editing and reviewing. Patricia Alessandra Dastoli: reviewing and editing. Jardel Mendonça Nicácio: writing, reviewing, and editing. Stéphanno Gomes Pereira Sarmento: writing, reviewing, and editing. Antonio Fernandes Moron: writing, reviewing, and editing.

Corresponding author

Correspondence to Marcos Devanir Silva da Costa.

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Cavalheiro, S., da Costa, M.D.S., Barbosa, M.M. et al. Fetal neurosurgery. Childs Nerv Syst 39, 2899–2927 (2023). https://doi.org/10.1007/s00381-023-06109-6

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