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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.

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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Prenatal diagnosis of lissencephaly: A case report.无脑回畸形的产前诊断:一例报告。
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Prenatal diagnosis of lissencephaly: a case report.无脑回畸形的产前诊断:一例报告
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引用本文的文献

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In utero MR imaging in fetuses at high risk of lissencephaly.对无脑回畸形高危胎儿进行子宫内磁共振成像。
Br J Radiol. 2017 Apr;90(1072):20160902. doi: 10.1259/bjr.20160902. Epub 2017 Mar 3.

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