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Journal of Pediatric Neuroradiology 2014; 03(04): 191-195
DOI: 10.3233/PNR-14192
Brief Report
Georg Thieme Verlag KG Stuttgart – New York

Antenatal detection of an intraglossal ranula on ultrasound and magnetic resonance imaging

Autoren

  • Harris L. Cohen

    a   Department of Radiology, University of Tennessee Health Science Center, Memphis, TN, USA
    b   Department of Radiology, Le Bonheur Children's Hospital, Memphis, TN, USA
    c   Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA
    d   Department of Obstetrics, University of Tennessee Health Science Center, Memphis, TN, USA
    e   Le Bonheur Fetal Center, Le Bonheur Children's Hospital, Memphis, TN, USA

  • Asim F. Choudhri

    a   Department of Radiology, University of Tennessee Health Science Center, Memphis, TN, USA
    b   Department of Radiology, Le Bonheur Children's Hospital, Memphis, TN, USA
    f   Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, USA
    g   Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, TN, USA

  • Anand D. Raju

    a   Department of Radiology, University of Tennessee Health Science Center, Memphis, TN, USA
    b   Department of Radiology, Le Bonheur Children's Hospital, Memphis, TN, USA

  • Jacques Samson

    d   Department of Obstetrics, University of Tennessee Health Science Center, Memphis, TN, USA
    e   Le Bonheur Fetal Center, Le Bonheur Children's Hospital, Memphis, TN, USA

  • Lisa M. Mabry

    h   College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA

  • Jerome W. Thompson

    i   Department of Otolaryngology, University of Tennessee Health Science Center, Memphis, TN, USA

Verantwortlicher Herausgeber dieser Rubrik:
Weitere Informationen

Publikationsverlauf

23. Juni 2014

24. September 2014

Publikationsdatum:
29. Juli 2015 (online)

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Abstract

A lingual ranula is a rare cystic lesion of the tongue. Ranulas are typically sublingual mucoceles. We report perhaps the first lingual ranula identified in a fetus. It was identified by ultrasound and confirmed by magnetic resonance imaging. Knowledge of the presence of such a large intraoral mass antenatally allows diagnosis, monitoring, assessment of potential airway compromise and delivery planning. The possibility of impending airway compromise caused the planning of an ex-utero intrapartum treatment (EXIT) procedure performed at delivery. Identification of tongue tissue below a cystic intraoral mass suggests a lingual rather than a sublingual origin, a finding which helps stratify the differential diagnosis.

Keywords

Ranula - fetal - magnetic resonance - ultrasound - tongue