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Klippel-Feil综合征、Dandy-Walker畸形、脊柱裂关联:一例报告

Association of Klippel-Feil syndrome, Dandy-Walker malformation, spina bifida: A case report.

作者信息

Pirino Alessio, Sotgiu Maria Alessandra, Cosmi Erich, Montella Andrea, Bandiera Pasquale

机构信息

Department of Biomedical Sciences, University of Sassari, Sassari, Italy.

Department of Woman's and Child's Health, Maternal-Fetal Medicine Unit, University of Padua, Padua, Italy.

出版信息

Radiol Case Rep. 2019 Jan 15;14(3):415-418. doi: 10.1016/j.radcr.2018.12.012. eCollection 2019 Mar.

DOI:10.1016/j.radcr.2018.12.012
PMID:30705709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6348729/
Abstract

Klippel-Feil syndrome is a congenital malformation characterized by the fusion of at least 2 cervical vertebrae. It may occur in association with other clinical syndromes and disorders. We describe a case of prenatal diagnosis of a Klippel-Feil syndrome with Dandy-Walker malformation, and spina bifida, proved by ultrasound examination. A postmortem x-ray and autopsy were performed in a female fetus of 16 + 6 weeks of gestation: several malformations have been discovered. To the best of our knowledge, no similar cases have been reported in the medical literature. This case report underscores the importance of a careful ultrasound screening during pregnancy for an adequate diagnostic and therapeutic management.

摘要

克-费综合征是一种先天性畸形,其特征为至少两节颈椎融合。它可能与其他临床综合征和病症同时出现。我们描述了一例经超声检查证实的患有丹迪-沃克畸形和脊柱裂的克-费综合征的产前诊断病例。对一名妊娠16 + 6周的女胎进行了死后X线检查和尸检:发现了几处畸形。据我们所知,医学文献中尚未报道过类似病例。本病例报告强调了孕期仔细超声筛查对于进行充分诊断和治疗管理的重要性。

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本文引用的文献

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Mediterranean diet, folic acid, and neural tube defects.地中海饮食、叶酸与神经管缺陷。
Ital J Pediatr. 2017 Aug 17;43(1):74. doi: 10.1186/s13052-017-0391-7.
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Spina Bifida: Pathogenesis, Mechanisms, and Genes in Mice and Humans.脊柱裂:小鼠和人类中的发病机制、机理及相关基因
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Prevalence of Klippel-Feil Syndrome in a Surgical Series of Patients with Cervical Spondylotic Myelopathy: Analysis of the Prospective, Multicenter AOSpine North America Study.颈椎脊髓病手术系列患者中克莱佩尔-费尔综合征的患病率:前瞻性、多中心 AOSpine 北美研究分析。
Global Spine J. 2015 Aug;5(4):294-9. doi: 10.1055/s-0035-1546817. Epub 2015 Mar 5.
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Pol J Radiol. 2015 Mar 16;80:142-50. doi: 10.12659/PJR.892878. eCollection 2015.
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Clinical, genetic and environmental factors associated with congenital vertebral malformations.与先天性椎体畸形相关的临床、遗传和环境因素。
Mol Syndromol. 2013 Feb;4(1-2):94-105. doi: 10.1159/000345329.
8
Klippel-Feil syndrome and Dandy-Walker malformation.克-费综合征和丹迪-沃克畸形。
Genet Couns. 2011;22(4):411-5.
9
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