三级中心胼胝体异常的诊断概况:回顾性横断面研究

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
Z. Özköse, Süleyman Cemil Oğlak, Mustafa Behram, Fatma Ölmez, Ayşegül Bestel, S. S. Çaypinar, I. Ozdemir
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引用次数: 0

摘要

目的:本研究旨在确定近8年来我院三级中心胼胝体(ACCs)各种异常病例的额外伴随异常的频率和类型。材料和方法:本回顾性横断面研究包括2012年10月至2020年11月在三级转诊中心进行的152例产前诊断的acc病例的数据。我们评估了中枢神经系统和其他器官系统结构异常、染色体异常以及非孤立形式的综合征。结果:在研究期间,在117,450名活产婴儿中,共有152例胼胝体异常被诊断出来,总体患病率为每10,000名活产婴儿12.9例。在152例确诊病例中,完全发育不全105例(69%),部分发育不全38例(25%),胼胝体发育不全9例(6%)。在这152例病例中,80例(52.6%)有孤立性ACC,其余72例(47.4%)至少有一种相关异常,包括染色体异常、公认综合征和多种先天性异常。结论:ACCs具有临床和病因异质性,产前诊断是可能的。即使在个别病例中,神经发育预后也不确定,而且大多与其他结构异常、染色体和遗传疾病有关。由于潜在的病因,伴随的其他异常和发育结局的不确定性,染色体,综合征和其他结构障碍可能是产前超声观察ACC病例的线索,应通过更详细的超声检查和基因检测进行调查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic Profile of Corpus Callosum Anomalies at a Tertiary Center: A Retrospective Cross-sectional Study
ABS TRACT Objective: This study aimed to define the frequency and type of additional accompanying anomalies in cases with various anomalies of the corpus callosum (ACCs) in our tertiary center in the last 8 years. Material and Methods: This retrospective cross-sectional study included the data of 152 cases of prenatally diagnosed ACCs in a tertiary referral center between October 2012 and November 2020. We evaluated central nervous system and other organ system structural abnormalities, chromosomal abnormalities, and syndromes accompanying in non-isolated forms. Results: During the study period, a total of 152 cases with callosal anomaly were diagnosed throughout the study course in a population of 117,450 live births, resulting in an overall prevalence of 12.9 per 10,000 live births. Of the 152 cases ascer-tained, 105 (69%) were total agenesis, 38 (25%) were partial agenesis, and 9 (6%) were hypoplasia of the corpus callosum. Of these 152 cases, 80 (52.6%) had isolated ACC and the remaining 72 (47.4%) cases had at least one associated anomaly, including chromosomal anomalies, recognized syndromes, and multiple congenital abnormalities. Conclusion: ACCs are clinically and etiologically heterogeneous, and prenatal diagnosis is possible. Even in isolated cases, the neurodevelopmental prognosis is uncertain and mostly associated with other structural abnormalities, chromosomal and genetic diseases. Due to the underlying etiological cause, accompanying additional anomalies and un- certainty regarding developmental outcomes, chromosomal, syndromic, and additional structural disorders may be clues in antenatal ultrasonographic observation in ACC cases should be investigated with the more detailed sonographic examination and genetic tests.
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来源期刊
Journal of Clinical Obstetrics and Gynecology
Journal of Clinical Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
CiteScore
0.30
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8
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