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孕早期应用三维超声诊断颈胸段脊髓纵裂和双脊髓畸形

First trimester diagnosis of cervico-thoracic diastematomyelia and diplomyelia using three-dimensional ultrasound.

作者信息

Lituania Mario, Tonni Gabriele, Araujo Júnior Edward

机构信息

Preconceptional and Prenatal Medicine, Department of Obstetrics and Gynecology, IRCCS Galliera Hospital, Genoa, Italy.

Department of Obstetrics & Gynecology, AUSL Reggio Emilia, Guastalla Civil Hospital, Reggio Emilia, Italy.

出版信息

Childs Nerv Syst. 2015 Dec;31(12):2245-8. doi: 10.1007/s00381-015-2926-9. Epub 2015 Oct 5.

DOI:10.1007/s00381-015-2926-9
PMID:26438550
Abstract

BACKGROUND

Diastematomyelia and diplomyelia are rare form of spinal cord malformations (SCM) characterized by sagittal cleft in the spinal cord, conus medullaris, and/or filum terminale with splaying of the posterior vertebral elements and duplication of the spinal cord into two twin cords. Prenatal diagnosis of these diseases by two-dimensional ultrasound has been reported usually late in pregnancy and only recently in the first trimester.

OBJECTIVE

We describe the first case of cervico-thoracic diastematomyelia and diplomyelia diagnosed early in pregnancy using three-dimensional ultrasound.

摘要

背景

脊髓纵裂和脊髓重复畸形是脊髓畸形（SCM）的罕见形式，其特征为脊髓、脊髓圆锥和/或终丝矢状裂，伴有后方椎体结构分离以及脊髓分裂为两条双脊髓。二维超声对这些疾病的产前诊断通常在妊娠晚期报道，最近才在孕早期报道。

目的

我们描述了首例使用三维超声在孕早期诊断的颈胸段脊髓纵裂和脊髓重复畸形病例。

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1
First trimester diagnosis of cervico-thoracic diastematomyelia and diplomyelia using three-dimensional ultrasound.孕早期应用三维超声诊断颈胸段脊髓纵裂和双脊髓畸形
Childs Nerv Syst. 2015 Dec;31(12):2245-8. doi: 10.1007/s00381-015-2926-9. Epub 2015 Oct 5.
2
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Prenatal Diagnosis of Diastematomyelia: a Case Report and Literature Review.产前诊断脊髓纵裂：病例报告及文献复习。
Reprod Sci. 2023 Dec;30(12):3563-3567. doi: 10.1007/s43032-023-01307-8. Epub 2023 Jul 25.

本文引用的文献

1
Prenatal diagnosis and clinicopathologic examination of a case with diastematomyelia.脊髓纵裂1例的产前诊断及临床病理检查
Congenit Anom (Kyoto). 2013 Dec;53(4):163-5. doi: 10.1111/cga.12008.
2
Intracranial translucency and spinal cord defects: early prenatal diagnosis of diastematomyelia.
J Ultrasound Med. 2013 Sep;32(9):1676-7. doi: 10.7863/ultra.32.9.1676.
3
Early prenatal diagnosis of orofacial clefts: evaluation of the retronasal triangle using a new three-dimensional reslicing technique.口腔颌面裂的早期产前诊断：使用新的三维重切片技术评估鼻咽三角区。
Fetal Diagn Ther. 2013;34(1):31-7. doi: 10.1159/000350181. Epub 2013 Jun 6.
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Prenatal diagnosis of split cord malformation by ultrasound and fetal magnetic resonance imaging: case report and review of the literature.超声及胎儿磁共振成像对脊柱裂畸形的产前诊断：病例报告及文献复习
Childs Nerv Syst. 2012 Dec;28(12):2169-72. doi: 10.1007/s00381-012-1900-z. Epub 2012 Sep 1.
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First-trimester ultrasound images using HDlive.使用高清动态成像技术的孕早期超声图像。
Ultrasound Obstet Gynecol. 2011 Nov;38(5):607. doi: 10.1002/uog.10112.
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Prenatal diagnosis of diastematomyelia: a case report and review of the literature.脊髓纵裂的产前诊断：一例病例报告及文献复习
J Clin Ultrasound. 2012 Jun;40(5):301-5. doi: 10.1002/jcu.20869. Epub 2011 Sep 22.
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Split cervical spinal cord malformation and vertebral dysgenesis.颈椎脊髓分裂畸形与椎体发育不良。
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Prenatal ultrasound evaluation of fetal diastematomyelia: two cases of type I split cord malformation.胎儿脊髓纵裂的产前超声评估：两例I型脊髓分裂畸形
Ultrasound Obstet Gynecol. 2000 Jan;15(1):78-82. doi: 10.1046/j.1469-0705.2000.00019.x.
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Prenatal diagnosis of diastematomyelia: case reports and review of the literature.脊髓纵裂的产前诊断：病例报告及文献复习
Prenat Diagn. 1997 Feb;17(2):161-5.
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Diastematomyelia: diagnosis by prenatal sonography.脊髓纵裂：产前超声诊断
AJR Am J Roentgenol. 1994 Oct;163(4):911-4. doi: 10.2214/ajr.163.4.8092034.