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Arnold-Chiari malformation (ACM) is one of the factors that cause death in newborns and infants. Ultrasound (US) is the preferred imaging method for pregnant patients. For the diagnosis of ACM II in the developing fetus, direct and indirect sonographic findings must be fully known. However, Magnetic Resonance Imaging (MRI) is increasingly used in patients whose sonographic diagnosis is uncertain. Fetal MRI is performed for patients such as central nervous system (CNS) abnormalities, neural tube defects, congenital diaphragmatic hernia and masses obstructing the airway that are considered fetal surgery. In this case report, ACM-II detected at 23 weeks 4 days of gestation was presented. The role of prenatal MRI in the recognition of these features, malformation and prognostic value was discussed.
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