Document Detail


Cerebellar hypoplasia: could it be a sonographic finding of abnormal fetal karyotype in early pregnancy?
MedLine Citation:
PMID:  10640878     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the screening utility of early transvaginal measurement of transverse cerebellar diameter for the identification of fetuses with abnormal karyotype. METHODS: We retrospectively analyzed the transverse cerebellar diameters of 56 fetuses with abnormal karyotypes (study group) and 1,892 euploid fetuses (control group) at 11-16 weeks of gestation. A nomogram with confidence intervals (10th and 90th percentile) was established for transverse cerebellar diameters versus gestational age in the control fetuses and individual values for chromosomally abnormal fetuses were plotted. A regression equation of expected transverse cerebellar diameter for each gestational age was calculated from 100 euploid fetuses chosen randomly and applied to the remaining control fetuses and to the study group fetuses. The ratio of observed to expected cerebellar diameters was calculated in the control group and compared with those obtained in single chromosome anomalies. RESULTS: The measurements obtained in aneuploid fetuses are within the normal range for gestational age. Only in 2 of the 37 Down syndrome fetuses and in 2 of the 4 fetuses with trisomy 13 was the observed to expected measurement ratio below the 5th percentile for gestational age. CONCLUSION: In our experience, the measurement of transverse cerebellar diameter cannot be considered as a useful tool in the detection of aneuploidy in early pregnancy. The data concerning trisomy 13 are too small, so that caution should be exercised when supposing an association between cerebellar hypoplasia detectable by early transvaginal scan and risk of this aneuploidy.
Authors:
P Rosati; L Guariglia
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  14     ISSN:  1015-3837     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:    1999 Nov-Dec
Date Detail:
Created Date:  2000-04-07     Completed Date:  2000-04-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  365-7     Citation Subset:  IM    
Copyright Information:
Copyright 1999 S. Karger AG, Basel
Affiliation:
Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebellum / embryology*,  ultrasonography*
Chromosome Aberrations*
Chromosomes, Human, Pair 13
Down Syndrome / ultrasonography
Female
Gestational Age*
Humans
Karyotyping*
Pregnancy
Reference Values
Retrospective Studies
Trisomy
Ultrasonography, Prenatal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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