合并双脑膨出的羊膜带综合征：一例报告。
Amniotic band syndrome with double encephalocele: A case report.
作者信息
da Silva Aldo Jose Ferreira, Silva Carolina S Magalhães E, Mariano Sonaly C R
机构信息
Department of Pediatric Neurosurgery, Santa Monica Maternity School - Alagoas State University of Health Sciences, Maceio, Alagoas, Brazil.
Department of Pediatrics, Neonatal Intensive Care Unit, Santa Monica Maternity School, Maceio, Alagoas, Brazil.
出版信息
Surg Neurol Int. 2020 Dec 22;11:448. doi: 10.25259/SNI_454_2020. eCollection 2020.
BACKGROUND
Amniotic band syndrome (ABS) is a rare condition of controversial etiology that is associated with varying degrees of anomalies. This study reports a case of a newborn with ABS associated with double encephalocele in the frontal region.
CASE DESCRIPTION
A 29-year-old primiparous woman with no history of prenatal infection or consanguineous marriage had a cesarean section at gestational week 38, giving birth to a newborn who was well but had limb anomalies (constriction rings, amputations, and syndactyly) and craniofacial anomalies, mainly double frontal encephalocele. The patient underwent surgical repair and subsequent placement of a ventriculoperitoneal shunt.
CONCLUSION
Studies clarifying this uncommon association with double encephalocele are limited. ABS associated with double encephalocele is rare and even more complex when associated with other anomalies. Thus, the conditions in such children are severe and require multidisciplinary monitoring.
背景
羊膜带综合征（ABS）是一种病因存在争议的罕见病症，与不同程度的异常情况相关。本研究报告了一例患有ABS且伴有额部双脑膨出的新生儿病例。
病例描述
一名29岁初产妇，无产前感染史及近亲结婚史，在孕38周时行剖宫产，分娩出一名新生儿，该新生儿情况良好，但存在肢体异常（束带、截肢和并指）及颅面异常，主要为额部双脑膨出。患者接受了手术修复及随后的脑室腹腔分流术。
结论
阐明这种与双脑膨出的罕见关联的研究有限。与双脑膨出相关的ABS很罕见，若再伴有其他异常则更为复杂。因此，此类患儿病情严重，需要多学科监测。
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