Das sonographische und endoskopische Bild einer Exenzephalie (Akranius) in der 12. Schwangerschaftswoche1

Autor:	E. Hafner, K. Philipp, K. Schuchter, M. Rankine
Rok vydání:	2000
Předmět:	Pregnancy medicine.medical_specialty Acrania Omphalocele Facial bone medicine.diagnostic_test business.industry Obstetrics and Gynecology Exencephaly medicine.disease Hysteroscopy Maternity and Midwifery Pediatrics Perinatology and Child Health Cranial vault Anencephaly medicine Radiology business
Zdroj:	Zeitschrift für Geburtshilfe und Neonatologie. 204:236-238
ISSN:	1439-1651 0948-2393
DOI:	10.1055/s-2000-9585
Popis:	BACKGROUND Acrania is a rare congenital anomaly of unknown pathogenesis, in which the flat bones of the cranial vault are absent and the facial bones are normally present. MATERIALS AND METHODS We present a case of a 4th gravida, who had already born 2 children with acrania and came for an ultrasound examination in the 12th week of gestation. RESULTS By transvaginal ultrasonography it was possible to diagnose fetal acrania already in the 12th week. By hysteroscopy at the same time we could see, that the brain was covered by a thin membrane, the facial bone and the shape of the cranium were normal. CONCLUSIONS By hysteroscopy it was possible to confirm the diagnosis and to detect additional malformations. This fetus showed a small omphalocele, hexadactylism on both sides and clubfeet on both sides. DISCUSSION By hysteroscopy in this early week of pregnancy we could demonstrate, that acrania is an independent anomaly and not the first stage of an anencephaly as reported by other authors. Hysteroscopy also offers the advantage of viewing the intact fetus before pregnancy termination.
Databáze:	OpenAIRE
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