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Jarcho-Levin综合征患者中枢神经系统异常或神经管缺陷的单中心经验

A Single-Center Experience of CNS Anomalies or Neural Tube Defects in Patients With Jarcho-Levin Syndrome.

作者信息

Demir Nihat, Peker Erdal, Gülşen İsmail, Ağengin Kemal, Kaba Sultan, Tuncer Oğuz

机构信息

Department of Pediatrics, Division of Neonatology, Yuzuncu Yil University School of Medicine, Van, Turkey

Department of Pediatrics, Division of Neonatology, Yuzuncu Yil University School of Medicine, Van, Turkey.

出版信息

J Child Neurol. 2016 Mar;31(4):415-20. doi: 10.1177/0883073815596614. Epub 2015 Aug 3.

Abstract

Jarcho-Levin syndrome (JLS) is a genetic disorder characterized by distinct malformations of the ribs and vertebrae, and/or other associated abnormalities such as neural tube defect, Arnold-Chiari malformation, renal and urinary abnormalities, hydrocephalus, congenital cardiac abnormalities, and extremity malformations. The study included 12 cases at 37-42 weeks of gestation and diagnosed to have had Jarcho-Levin syndrome, Arnold-Chiari malformation, and meningmyelocele. All cases of Jarcho-Levin syndrome had Arnold-Chiari type 2 malformation; there was corpus callosum dysgenesis in 6, lumbosacral meningmyelocele in 6, lumbal meningmyelocele in 3, thoracal meningmyelocele in 3, and holoprosencephaly in 1 of the cases. With this article, the authors underline the neurologic abnormalities accompanying Jarcho-Levin syndrome and that each of these abnormalities is a component of Jarcho-Levin syndrome.

摘要

贾科-莱文综合征(JLS)是一种遗传性疾病,其特征为肋骨和脊椎明显畸形,和/或其他相关异常,如神经管缺陷、阿诺德-基亚里畸形、肾脏和泌尿系统异常、脑积水、先天性心脏异常以及肢体畸形。该研究纳入了12例妊娠37至42周且被诊断患有贾科-莱文综合征、阿诺德-基亚里畸形和脊髓脊膜膨出的病例。所有贾科-莱文综合征病例均患有2型阿诺德-基亚里畸形;其中6例存在胼胝体发育不全,6例存在腰骶部脊髓脊膜膨出,3例存在腰部脊髓脊膜膨出,3例存在胸部脊髓脊膜膨出,1例存在全前脑畸形。作者通过本文强调了伴随贾科-莱文综合征的神经学异常,且这些异常中的每一种都是贾科-莱文综合征的一个组成部分。

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