Naja Ahmad Salaheddine, El Khatib Hassan, Baydoun Ahmad, Nasser Eddine Mohammad
Department of Orthopaedic Surgery, American University of Beirut Medical Centre, Beirut, Lebanon.
Department of Paediatric, Makassed General Hospital, Beirut, Lebanon.
Am J Case Rep. 2019 May 20;20:719-722. doi: 10.12659/AJCR.914870.
BACKGROUND Arthrogryposis multiplex congenita is a multifactorial syndromic or non-syndromic group of conditions consisting of multiple congenital contractures of the body, of unknown etiology. It is associated with a heterogenous group of disorders that include but are not limited to processes such as myopathic and neuropathic. Neural tube defect is a neuropathic disorder that incorporates myelomeningocele that might be either isolated or within a spectrum of multiple diseases. CASE REPORT This is a case report of a 28-day-old male born with lower limb arthrogryposis with myelomeningocele and Chiari II malformation in a Mediterranean population. CONCLUSIONS Lower extremity arthrogryposis with myelomeningocele and Chiari II malformation is a prenatal diagnosis that requires high clinical suspicion, early multidisciplinary intervention, and genetic counselling. As long as new approaches are being explored in the management of such cases, babies born now with neural tube defects can expect better quality of life.