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阿佩尔综合征:一例产前超声、死后头颅CT及分子遗传学分析的病例报告。

Apert syndrome: A case report of prenatal ultrasound, postmortem cranial CT, and molecular genetic analysis.

作者信息

Zhang Weixia, Xue Hongyuan, Huang Dai, Ye Yuquan, Chen Xiao

机构信息

Department of Ultrasonography, Hebei General Hospital, Hebei, China.

出版信息

J Clin Ultrasound. 2021 Mar;49(3):250-253. doi: 10.1002/jcu.22927. Epub 2020 Sep 21.

Abstract

Apert syndrome is characterized by craniosynostosis, mid-facial hypoplasia, and symmetric syndactyly. Prenatal diagnosis is challenging until the skull and facial anomalies become more pronounced during the third trimester. We present a case in which typical sonographic signs of Apert syndrome were observed after 23 weeks of gestation. Following termination of the pregnancy, both clinical features such as craniofacial abnormalities and syndactyly and cranial 3D-CT images showed high correlation with the previous sonographic findings. Furthermore, genetic analysis revealed a spontaneous mutation, c.755C≥G (p.S252W), in the FGFR2 gene, with this mutation implicated in the etiology of Apert syndrome.

摘要

Apert综合征的特征为颅缝早闭、面中部发育不全和对称性并指(趾)畸形。在妊娠晚期颅骨和面部异常变得更加明显之前,产前诊断具有挑战性。我们报告一例在妊娠23周后观察到Apert综合征典型超声征象的病例。终止妊娠后,颅面部异常和并指(趾)畸形等临床特征以及头颅三维CT图像均与之前的超声检查结果高度相关。此外,基因分析显示FGFR2基因存在自发突变c.755C≥G(p.S252W),该突变与Apert综合征的病因有关。

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