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一例出生时头围正常但超声怀疑小头畸形的病例。

A Case of Ultrasound Suspected Microcephaly With a Normal Head Circumference at Birth.

作者信息

Tanabe Shohei, Ichida Kotaro, Morishima Syuji

机构信息

Obsterics and Gynecology, Kobe City Medical Center West Hospital, Kobe, JPN.

Obstetrics and Gynecology, Kobe City Medical Center West Hospital, Kobe, JPN.

出版信息

Cureus. 2023 Aug 9;15(8):e43191. doi: 10.7759/cureus.43191. eCollection 2023 Aug.

DOI:10.7759/cureus.43191
PMID:37565178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10410679/
Abstract

A 25-year-old first-time mother from Nepal had a well-progressing spontaneous pregnancy. However, from the 37th week, her baby's biparietal diameter (BPD) stopped growing at around 83 mm. At 40 weeks, measurements suggested possible microcephaly and fetal growth failure but no other abnormalities. No travel, infections, or cytomegalovirus were identified prenatally. By 41 weeks, the BPD and head circumference (HC) decreased further, while the estimated fetal birth weight (EFBW) slightly increased. The baby girl was born at 41 weeks and 1 day with a low birth weight but a normal head circumference. Postnatal checks showed no abnormalities, and she was discharged with normal growth at 10 days old.

摘要

一名来自尼泊尔的25岁初产妇,孕期进展顺利。然而,从第37周起,她腹中胎儿的双顶径(BPD)停止生长,维持在约83毫米左右。到40周时,测量结果显示可能存在小头畸形和胎儿生长受限,但未发现其他异常。产前未发现孕妇有旅行史、感染或巨细胞病毒感染。到41周时,双顶径和头围(HC)进一步减小,而估计胎儿出生体重(EFBW)略有增加。该女婴于41周零1天出生,出生体重低,但头围正常。产后检查未发现异常,她在出生10天时正常生长出院。

相似文献

1
A Case of Ultrasound Suspected Microcephaly With a Normal Head Circumference at Birth.一例出生时头围正常但超声怀疑小头畸形的病例。
Cureus. 2023 Aug 9;15(8):e43191. doi: 10.7759/cureus.43191. eCollection 2023 Aug.
2
Prenatal diagnosis of fetal microhydranencephaly: a case report and literature review.胎儿微小头畸形的产前诊断:病例报告及文献复习。
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Int J Gynaecol Obstet. 2021 Sep;154(3):474-480. doi: 10.1002/ijgo.13578. Epub 2021 Feb 12.

本文引用的文献

1
Microcephaly caused by or associated with congenital infections in the last 20 years in Brazil: a systematic review.过去 20 年巴西由先天性感染引起或与之相关的小头畸形:系统评价。
Rev Inst Med Trop Sao Paulo. 2022 Feb 2;64:e7. doi: 10.1590/S1678-9946202264007. eCollection 2022.
2
[Microcephaly].[小头畸形]
Medicina (B Aires). 2018;78 Suppl 2:94-100.
3
Diagnostic Accuracy of Ultrasound Scanning for Prenatal Microcephaly in the context of Zika Virus Infection: A Systematic Review and Meta-analysis.超声扫描在寨卡病毒感染相关产前小头畸形诊断中的准确性:系统评价和荟萃分析。
Sci Rep. 2017 May 23;7(1):2310. doi: 10.1038/s41598-017-01991-y.
4
Discrepancy in fetal head biometry between ultrasound and MRI in suspected microcephalic fetuses.疑似小头畸形胎儿中超声与磁共振成像测量胎儿头部生物指标的差异
Acta Radiol. 2017 Dec;58(12):1519-1527. doi: 10.1177/0284185117698865. Epub 2017 Mar 17.
5
Ultrasound screening for fetal microcephaly following Zika virus exposure.寨卡病毒暴露后胎儿小头畸形的超声筛查
Am J Obstet Gynecol. 2016 Jun;214(6):B2-4. doi: 10.1016/j.ajog.2016.02.043. Epub 2016 Feb 19.
6
Prediction of microcephaly at birth using three reference ranges for fetal head circumference: can we improve prenatal diagnosis?使用三种胎儿头围参考范围预测出生时的小头畸形:我们能否改善产前诊断?
Ultrasound Obstet Gynecol. 2016 May;47(5):586-92. doi: 10.1002/uog.15801.