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伴有手术室不明原因猝死的Opitz三角头畸形综合征:一例报告

Opitz trigonocephaly syndrome presenting with sudden unexplained death in the operating room: a case report.

作者信息

Travan Laura, Pecile Vanna, Fertz Mariacristina, Fabretto Antonella, Brovedani Pierpaolo, Demarini Sergio, Opitz John M

机构信息

Neonatal Intensive Care Unit, Institute for Maternal and Child Health Burlo Garofolo, Via dell'Istria 65/1, 34100, Trieste, Italy.

出版信息

J Med Case Rep. 2011 Jun 21;5:222. doi: 10.1186/1752-1947-5-222.

DOI:10.1186/1752-1947-5-222
PMID:21689463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3141689/
Abstract

INTRODUCTION

Opitz trigonocephaly C syndrome (OTCS) is a rare malformation syndrome with the following features: synostosis of metopic suture, craniofacial abnormalities, severe mental retardation and a multitude of pathological findings affecting almost every organ system. OTCS is associated with a high mortality rate.

CASE PRESENTATION

We describe the case of a Caucasian male baby who died at five months of age during surgical correction of the craniofacial anomaly.

CONCLUSION

As previously reported, OTCS may have an increased mortality rate during craniofacial surgery. Careful evaluation of surgery risk-benefit ratio is warranted in such patients.

摘要

引言

奥皮茨三角头畸形C综合征(OTCS)是一种罕见的畸形综合征,具有以下特征:额缝早闭、颅面异常、严重智力迟钝以及影响几乎每个器官系统的众多病理表现。OTCS与高死亡率相关。

病例报告

我们描述了一名白种男婴的病例,该男婴在颅面畸形手术矫正过程中于五个月大时死亡。

结论

如先前报道,OTCS在颅面手术期间可能有更高的死亡率。对此类患者进行手术风险效益比的仔细评估是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3f/3141689/24e4e1ded499/1752-1947-5-222-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3f/3141689/d79ef71a46b2/1752-1947-5-222-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3f/3141689/24e4e1ded499/1752-1947-5-222-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3f/3141689/d79ef71a46b2/1752-1947-5-222-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3f/3141689/24e4e1ded499/1752-1947-5-222-2.jpg

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本文引用的文献

1
Mutations in CD96, a member of the immunoglobulin superfamily, cause a form of the C (Opitz trigonocephaly) syndrome.免疫球蛋白超家族成员CD96中的突变会导致一种C(奥匹兹三角头畸形)综合征。
Am J Hum Genet. 2007 Oct;81(4):835-41. doi: 10.1086/522014. Epub 2007 Aug 27.
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Mortality and pathological findings in C (Opitz trigonocephaly) syndrome.
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Opitz trigonocephaly C syndrome associated with hearing loss.与听力损失相关的Opitz三角头畸形C综合征。
Pediatr Int. 2003 Dec;45(6):731-3. doi: 10.1111/j.1442-200x.2003.01819.x.
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Clinical and genetic aspects of trigonocephaly: a study of 25 cases.三角头畸形的临床与遗传学研究:25例病例分析
Am J Med Genet A. 2003 Mar 1;117A(2):127-35. doi: 10.1002/ajmg.a.10021.
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Opitz C trigonocephaly syndrome and midline brain anomalies.奥皮茨C型三角头畸形综合征与中线脑异常
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Further delineation of the C (trigonocephaly) syndrome.C(三角头畸形)综合征的进一步描述。
Am J Med Genet. 1981;9(2):147-63. doi: 10.1002/ajmg.1320090209.
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"C" trigonocephaly syndrome: clinical variability and possibility of surgical treatment.“C”型三角头畸形综合征:临床变异性及手术治疗的可能性
Am J Med Genet. 1990 Dec;37(4):451-6. doi: 10.1002/ajmg.1320370404.