产前超声诊断脑膜囊肿合并脊髓栓系综合征1例

Q4 Medicine

中华围产医学杂志 Pub Date : 2019-08-16 DOI:10.3760/CMA.J.ISSN.1007-9408.2019.08.015

Shen-Hua Wu, Xinxiu Liu, Ling Chen, Z. Qu

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引用次数: 0

摘要

我们报告了一例37+5孕周的产前超声诊断为脑膜囊肿合并脊髓栓系综合征，同时显示胎儿马蹄肾和肝内血管异常(动静脉瘘)。妊娠39+4周时，孕妇发生沉淀分娩。本例新生儿肛门在正常位置前1厘米左右。新生儿超声及CT检查发现肝内动静脉瘘、马蹄肾，腰骶骨MRI检查发现脊髓囊性占位性病变。经椎管探查及脊髓肿瘤切除术切除椎管内肿瘤，病理证实为室管膜囊肿，与产前诊断一致。术后CT检查腰椎变化情况。婴儿在5个月大时接受了成功的肛门成形术，随访至1岁和8个月时未发现异常生长或发育。提高对脊髓栓系综合征的认识有助于减少漏诊和误诊。关键词:神经管缺损;室管膜;囊肿;超声,产前

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Meningeal cysts complicated with tethered cord syndrome diagnosed by prenatal ultrasonography: a case report

We reported a case diagnosed with meningeal cysts complicated with tethered cord syndrome based on prenatal ultrasound images at 37+5 gestational weeks, which also showed horseshoe kidney and intrahepatic vascular abnormalities (arteriovenous fistula) in the fetus. The gravida had a precipitate delivery at 39+4 gestational weeks. The anus of this newborn was about 1 cm in front of the normal position. Intrahepatic arteriovenous fistula and horseshoe kidney were detected by neonatal ultrasound and CT scan, and spinal cystic occupying lesion was found by lumbar-sacrum MRI. Intraspinal tumors were removed through spinal canal exploration and spinal cord tumor resection and were confirmed as ependymal cysts by pathological analysis, which was consistent with the prenatal diagnosis. Postoperative changes of lumbar spine was reported by CT scan after the operation. The baby received successful anoplasty when five months old and no abnormal growth or development were found when followed up to one year and eight months old. Raising awareness of tethered cord syndrome can help reduce missed diagnosis and misdiagnosis. Key words: Neural tube defects; Ependyma; Cysts; Ultrasonography, prenatal

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来源期刊

中华围产医学杂志 Medicine-Obstetrics and Gynecology

CiteScore

0.70

自引率

0.00%

发文量

4446

期刊介绍： Chinese Journal of Perinatal Medicine was founded in May 1998. It is one of the journals of the Chinese Medical Association, which is supervised by the China Association for Science and Technology, sponsored by the Chinese Medical Association, and hosted by Peking University First Hospital. Perinatal medicine is a new discipline jointly studied by obstetrics and neonatology. The purpose of this journal is to "prenatal and postnatal care, improve the quality of the newborn population, and ensure the safety and health of mothers and infants". It reflects the new theories, new technologies, and new progress in perinatal medicine in related disciplines such as basic, clinical and preventive medicine, genetics, and sociology. It aims to provide a window and platform for academic exchanges, information transmission, and understanding of the development trends of domestic and foreign perinatal medicine for the majority of perinatal medicine workers in my country.