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使用三维超声和胎儿磁共振成像对2型无脑回畸形进行产前诊断:病例报告及文献复习

Prenatal Diagnosis of Lissencephaly Type 2 using Three-dimensional Ultrasound and Fetal MRI: Case Report and Review of the Literature.

作者信息

Tonni Gabriele, Pattacini Pierpaolo, Bonasoni Maria Paola, Araujo Júnior Edward

机构信息

Department of Obstetrics & Gynecology, Ospedale Civile Guastalla, AUSL Reggio Emilia, Reggio Emilia, Italy.

Department of Diagnostic Imaging, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) "Arcispedale Santa Maria Nuova", Reggio Emilia, Italy.

出版信息

Rev Bras Ginecol Obstet. 2016 Apr;38(4):201-6. doi: 10.1055/s-0036-1582126. Epub 2016 Apr 18.

DOI:10.1055/s-0036-1582126
PMID:27088705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10309364/
Abstract

Lissencephaly is a genetic heterogeneous autosomal recessive disorder characterized by the classical triad: brain malformations, eye anomalies, and congenital muscular dystrophy. Prenatal diagnosis is feasible by demonstrating abnormal development of sulci and gyri. Magnetic resonance imaging (MRI) may enhance detection of developmental cortical disorders as well as ocular anomalies. We describe a case of early diagnosis of lissencephaly type 2 detected at the time of routine second trimester scan by three-dimensional ultrasound and fetal MRI. Gross pathology confirmed the accuracy of the prenatal diagnosis while histology showed the typical feature of cobblestone cortex. As the disease is associated with poor perinatal prognosis, early and accurate prenatal diagnosis is important for genetic counseling and antenatal care.

摘要

无脑回畸形是一种遗传性异质性常染色体隐性疾病,其特征为典型的三联征:脑畸形、眼部异常和先天性肌营养不良。通过显示脑沟和脑回的异常发育可进行产前诊断。磁共振成像(MRI)可能会提高对发育性皮质疾病以及眼部异常的检测。我们描述了一例在孕中期常规超声检查时通过三维超声和胎儿MRI早期诊断出的2型无脑回畸形病例。大体病理学证实了产前诊断的准确性,而组织学显示出鹅卵石样皮质的典型特征。由于该疾病与围产期预后不良相关,早期准确的产前诊断对于遗传咨询和产前护理很重要。

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本文引用的文献

1
Prenatal diagnosis of cobblestone lissencephaly associated with Walker-Warburg syndrome based on a specific sonographic pattern.基于特定超声图像模式对与沃克-沃尔堡综合征相关的鹅卵石型无脑回畸形进行产前诊断。
Ultrasound Obstet Gynecol. 2016 Jan;47(1):117-22. doi: 10.1002/uog.15735.
2
The Ashkenazi Jewish carrier screening panel: evolution, status quo, and disparities.阿什肯纳兹犹太人群携带者筛查项目:演变、现状与差异
Prenat Diagn. 2014 Dec;34(12):1161-7. doi: 10.1002/pd.4446. Epub 2014 Jul 31.
3
Second trimester fetal neurosonography: reconstructing cerebral midline anatomy and anomalies using a novel three-dimensional ultrasound technique.孕中期胎儿神经超声检查:使用一种新型三维超声技术重建脑中线解剖结构及异常情况。
Prenat Diagn. 2014 Jan;34(1):75-83. doi: 10.1002/pd.4258. Epub 2013 Dec 9.
4
Dilated intracranial translucency and Blake's pouch cyst: first-trimester ultrasound markers of occipital cephalocele diagnosed using novel three-dimensional reslicing technique.扩张性颅内半透明区与布莱克囊囊肿:使用新型三维重切片技术诊断枕部脑膨出的孕早期超声标志物。
J Clin Ultrasound. 2014 Mar-Apr;42(3):157-61. doi: 10.1002/jcu.22073. Epub 2013 Aug 16.
5
Mutations in LAMB1 cause cobblestone brain malformation without muscular or ocular abnormalities.LAMB1 基因突变导致鹅卵石样脑畸形,无肌肉或眼部异常。
Am J Hum Genet. 2013 Mar 7;92(3):468-74. doi: 10.1016/j.ajhg.2013.02.005.
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Identification of mutations in TMEM5 and ISPD as a cause of severe cobblestone lissencephaly.鉴定 TMEM5 和 ISPD 突变是导致严重鹅卵石样无脑回畸形的原因。
Am J Hum Genet. 2012 Dec 7;91(6):1135-43. doi: 10.1016/j.ajhg.2012.10.009.
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Fetal cerebral ventricle volumetry: comparison between 3D ultrasound and magnetic resonance imaging in fetuses with ventriculomegaly.胎儿脑室容积测量:三维超声与磁共振成像在脑室扩大胎儿中的比较
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