Schut Pauline, Verdijk Robert M, Joosten Marieke, Eggink Alex J
Prenatal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Department of Pathology, Erasmus MC, Rotterdam, The Netherlands.
BMJ Case Rep. 2018 Dec 18;11(1):e225381. doi: 10.1136/bcr-2018-225381.
We present a case report of a foetus with a herniated Dandy-Walker cyst and bilateral rudimentary cervical ribs. The cervical ribs were visualised prenatally by three-dimensional ultrasound and confirmed by post-termination radiography. The prevalence of cervical ribs is higher in deceased fetuses and neonates with or without structural abnormalities compared with healthy individuals and might be regarded as a marker of disadvantageous fetal development. We demonstrate that evaluation of the fetal vertebral pattern by three-dimensional ultrasonography, including the cervical region, is feasible and could provide valuable information regarding fetal and neonatal prognosis.
我们报告一例患有丹迪-沃克囊肿疝和双侧颈椎肋骨发育不全的胎儿病例。颈椎肋骨在产前通过三维超声得以显示，并在终止妊娠后的X光检查中得到证实。与健康个体相比，颈椎肋骨在有或无结构异常的死胎和新生儿中更为常见，可能被视为胎儿发育不利的一个标志。我们证明，通过三维超声检查评估胎儿的椎体形态，包括颈椎区域，是可行的，并且可以提供有关胎儿和新生儿预后的有价值信息。
