| Prenatal diagnosis of Chiari malformation with syringomyelia in the second trimester. | |
| | |
MedLine Citation:
|
PMID: 19572237 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Routine anatomic ultrasound performed in the second trimester has a detection rate of approximately 70-90% for fetal congenital abnormalities (Nyberg and Souter, J Ultrasound Med 2001;6:655-674). The central nervous system abnormalities are one of the most common ones detected. Chiari malformation is among the CNS abnormalities diagnosed in the fetal period (Bianchi et al., Fetology - diagnosis and management of the fetal patient, McGraw-Hill, 2000). The Arnold-Chiari malformation was first described in 1883 by Cleland (Romero et al., Prenatal diagnosis of congenital anomalies, Appleton and Lange, 1988). It is characterised by the prolapse of the hindbrain structures below the level of the foramen magnum. It can be associated with skeletal abnormalities and neurological dysfunction. In type I, a lip of cerebellum is downwardly displaced with the tonsils, but the fourth ventricle remains in the posterior fossa. This condition may coexist with syringomyelia, which is a cyst formation on the cervical portion of the spinal cord (Creasy et al., Maternal fetal medicine principles and practice, 2004). We present a case where Chiari type 1 and syringomyelia detected at 18 weeks of gestation. The reason for referral to our center was an abnormal inward posturing of both upper and lower extremities (minimal gross movement and almost inexistent range of motion on fetal joints). On further fetal evaluation, an abnormal brain ultrasound was identified. Prenatal diagnosis of Chiari type 1 malformation and syringomyelia is almost nonexistent when reviewing the literature is the reason why this case is presented. |
| | |
Authors:
|
Jesus Igor Iruretagoyena; Barbara Trampe; Dinesh Shah |
Related Documents
:
|
6622407 - Cystic hygroma simulating an encephalocele. 1753167 - The use of transvaginal ultrasound to aspirate bilateral hydrosalpinges prior to in vit... 8605747 - Early management and postnatal investigation of prenatally diagnosed hydronephrosis. 20207937 - Meningomyelocele: early detection using 3-dimensional ultrasound imaging in the family ... 19508667 - Feasibility, reliability, and validity of three health-state valuation methods using mu... 3618097 - Skeletal relationships in the human embryonic foot based on three-dimensional reconstru... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: 23 ISSN: 1476-4954 ISO Abbreviation: J. Matern. Fetal. Neonatal. Med. Publication Date: 2010 Feb |
Date Detail:
|
Created Date: 2010-02-18 Completed Date: 2010-05-13 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: England |
Other Details:
|
Languages: eng Pagination: 184-6 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Wisconsin, Meriter Hospital, Madison, Wisconsin 53715-1599, USA. iruretagoyen@wisc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arnold-Chiari Malformation / complications, genetics, ultrasonography* Dilatation and Curettage Female Fetal Diseases / ultrasonography* Gestational Age Humans Karyotyping Pregnancy Syringomyelia / complications, genetics, ultrasonography* Ultrasonography, Prenatal* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Stepwise sequential screening for trisomy 21 in assisted reproduction pregnancies.
Next Document: Expert assessment of tinnitus in statutory accident insurance