Geka F, Reitter A, Louwen F
Klinik für Frauenheilkunde und Geburtshilfe an der Johann Wolfgang Goethe- Universität Frankfurt am Main, Frankfurt, Germany.
Z Geburtshilfe Neonatol. 2012 Feb;216(1):37-9. doi: 10.1055/s-0031-1299771. Epub 2012 Feb 13.
Holoprosencephaly (HPE) is a serious malformation of the central nervous system which occurs between the 18th and 28th day of gestation. HPE can appear in different manifestations within one family. The diagnosis of HPE can be performed in an early sonographic scan between the 12th and the 14th week of gestation, according to the guidelines for the examination of the foetal nervous system. The history of a pregnant woman with a previous birth of a foetus with cerebral malformation and having a partner with minor signs for HPE justifies an intensified sonographic examination and molecular analysis. An amniocentesis was done just for the basic analysis, not for further genetic testing. However, it is very important to have information about a recurrency risk for every subsequent pregnancy.
前脑无裂畸形(HPE)是一种严重的中枢神经系统畸形,发生在妊娠第18至28天之间。HPE在一个家族中可能表现出不同的形式。根据胎儿神经系统检查指南,可在妊娠第12至14周进行的早期超声扫描中诊断出HPE。有过胎儿脑部畸形分娩史且伴侣有HPE轻微体征的孕妇,有理由进行强化超声检查和分子分析。羊水穿刺仅用于基本分析,而非进一步的基因检测。然而,了解每次后续妊娠的复发风险信息非常重要。