Sobczak Alexandria, Skelly Alyson, Patel Hemangi, Felber Randy, DiLeo Christine
Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Obstetrics and Gynecology, Wellington Regional Medical Center, Wellington, USA.
Cureus. 2024 Mar 10;16(3):e55917. doi: 10.7759/cureus.55917. eCollection 2024 Mar.
Encephaloceles and severe cardiac malformations are rare presentations in a newborn. The mechanism of these congenital abnormalities is relatively unknown, but it is hypothesized to be related to genetic, environmental, and maternal risk factors. This case report describes a newborn with an occipital encephalocele associated with severe right ventricular hypoplasia secondary to tricuspid and pulmonary atresia. The patient's maternal risk factors included obesity, type 2 diabetes mellitus, and everyday tobacco use during pregnancy. Education on preconception planning, management, and counseling is essential as a preventative measure in fetal development and is further emphasized in this case.
脑膨出和严重心脏畸形在新生儿中较为罕见。这些先天性异常的机制相对不明,但据推测与遗传、环境和母体风险因素有关。本病例报告描述了一名患有枕部脑膨出的新生儿,该脑膨出与继发于三尖瓣和肺动脉闭锁的严重右心室发育不全相关。患者的母体风险因素包括肥胖、2型糖尿病以及孕期每日吸烟。孕前规划、管理和咨询方面的教育作为胎儿发育的预防措施至关重要,本病例对此进一步予以强调。