Serial prenatal MRI evaluation of valacyclovir-treated vs untreated fetuses with congenital cytomegalovirus (cCMV) infection - Summary - MDSpire

Serial prenatal MRI evaluation of valacyclovir-treated vs untreated fetuses with congenital cytomegalovirus (cCMV) infection

  • By

  • Mario Tortora

  • Elisa Fabbri

  • Alessia Arossa

  • Milena Furione

  • Luisa Chiapparini

  • Guglielmo Conti

  • Giana Izzo

  • Cecilia Parazzini

  • Filippo Arrigoni

  • Stefania Criscuolo

  • Fabio Tortora

  • Mariano Lanna

  • Andrea Righini

  • Chiara Doneda

  • June 20, 2026

  • 0 min

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Objective:

To compare serial prenatal MRI findings between valacyclovir-treated and untreated fetuses with confirmed congenital cytomegalovirus (cCMV) infection, focusing on isolated 'minor' lesions.

Approach:
    Key Findings:
    • Fetal MRI can detect subtle brain abnormalities associated with cCMV infection.
    • The study focused on the occurrence and progression of isolated 'minor' lesions.
    • Valacyclovir treatment was hypothesized to influence the development of these subtle MRI abnormalities.
    Interpretation:

    The study aims to assess the potential impact of valacyclovir on the evolution of minor brain lesions in fetuses with cCMV infection.

    Limitations:
    • Neonatal MRI findings and postnatal outcomes were not available for all cases.
    • The study was limited to a single center and a small sample size for the treated group.
    Conclusion:

    The study provides insights into the effects of valacyclovir on MRI findings in fetuses with cCMV, specifically regarding the occurrence and progression of minor lesions.

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