供体双胎自然死亡后，存活受血儿突发小头畸形的双胎输血。

Twin-twin transfusion with abrupt onset of microcephaly in the surviving recipient following spontaneous death of the donor twin.

作者信息

Sherer D M, Abramowicz J S, Jaffe R, Smith S A, Metlay L A, Woods J R

机构信息

Department of Obstetrics and Gynecology, Strong Memorial Hospital, University of Rochester School of Medicine and Dentistry, NY 14642-8668.

出版信息

Am J Obstet Gynecol. 1993 Jul;169(1):85-8. doi: 10.1016/0002-9378(93)90136-7.

DOI:10.1016/0002-9378(93)90136-7

PMID:8333482

Abstract

We describe a case in which twin-twin transfusion with fetal death of the donor at 23 weeks was complicated by suspected intracranial embolic insult of the surviving recipient twin. Dynamic transient intracranial ultrasonographic findings were noted with complete resolution by 28 weeks. Subsequent severe microcephaly of the survivor with no further growth of any of the cranial parameters beyond 25 weeks was thought to be a result of this very unusual pathophysiologic mechanism.

摘要

我们描述了一例病例，其中双胎输血且供体胎儿在23周时死亡，幸存的受体双胎疑似发生颅内栓塞损伤。动态颅内超声检查发现有短暂异常，至28周时完全恢复。幸存者随后出现严重小头畸形，25周后任何头颅参数均未进一步增长，这被认为是这种非常特殊的病理生理机制导致的结果。