Fetal acrania diagnosed at 17 weeks of gestation by 2D∕3D ultrasound: a case report and literature review.

IF 1.2 4区 医学 Q4 DEVELOPMENTAL BIOLOGY
Bogdan Ioan Ştefănescu, Tiberiu Ioan Mihalache, Georgiana Bianca Constantin, George Ţocu, Miruna Maria Ştefănescu, Roxana Elena Bogdan Goroftei
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引用次数: 0

Abstract

Acrania is a fetal malformation characterized by complete or partial absence of the calvaria above the orbits and supraciliary ridge. No exact mechanism is demonstrated for this anomaly but disturbances in mesenchymal migration during the fourth week of development are the most documented. The key sonographic features of acrania are absent calvaria and dorsally bulging brain (Mickey Mouse head). Due to the normal process of ossification of cranial bones, the diagnosis can be established only after 11 weeks of gestation. Early detection is extremely important. The prognosis is extremely poor so elective termination of pregnancy is the treatment of choice. In this paper, we discuss the things we know about pathogeny and ultrasonographic features of fetal cranial malformations based on a case diagnosed late during gestation.

通过二维∕三维超声波检查在妊娠 17 周时诊断出胎儿acrania:病例报告和文献综述。
眼轮畸形是一种胎儿畸形,其特征是眼眶和睫状上脊上方的小腿完全或部分缺失。这种畸形的确切机制尚无定论,但发育第四周间质迁移紊乱是最常见的记录。尖头畸形的主要声像图特征是无小腿和大脑背侧隆起(米老鼠头)。由于颅骨的正常骨化过程,只有在妊娠 11 周后才能确诊。早期发现极为重要。预后极差,因此选择终止妊娠是首选的治疗方法。本文将根据一例妊娠晚期诊断病例,讨论我们所了解的胎儿颅骨畸形的病因和超声特征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
20.00%
发文量
221
审稿时长
3-8 weeks
期刊介绍: Romanian Journal of Morphology and Embryology (Rom J Morphol Embryol) publishes studies on all aspects of normal morphology and human comparative and experimental pathology. The Journal accepts only researches that utilize modern investigation methods (studies of anatomy, pathology, cytopathology, immunohistochemistry, histochemistry, immunology, morphometry, molecular and cellular biology, electronic microscopy, etc.).
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