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先天性面瘫综合征发展过程中的子宫收缩。

Uterine contraction in the development of Möbius syndrome.

作者信息

Graf W D, Shepard T H

机构信息

Department of Pediatrics, University of Washington School of Medicine, Seattle, USA.

出版信息

J Child Neurol. 1997 Apr;12(3):225-7. doi: 10.1177/088307389701200315.

DOI:10.1177/088307389701200315
PMID:9130101
Abstract

We report a patient with Möbius syndrome. The birth defect in this child is probably the result of both vasoconstriction and uterine contractions brought on by ergotamine taken during the sixth week of pregnancy. We propose that vasoconstrictive or mechanical effects, or both, of abortifacient drugs such as ergotamine and misoprostol may account for other cases of Möbius syndrome, and we suggest that uterine contraction from any cause, at about the sixth or seventh week of pregnancy, may cause this birth defect. Further observational studies are needed to verify this hypothesis.

摘要

我们报告了一名患有莫比乌斯综合征的患者。该患儿的出生缺陷可能是由于在怀孕第六周服用麦角胺引起的血管收缩和子宫收缩共同导致的。我们认为,麦角胺和米索前列醇等堕胎药物的血管收缩或机械作用,或两者兼而有之,可能是其他莫比乌斯综合征病例的病因,并且我们提出,怀孕约第六或第七周时,任何原因引起的子宫收缩都可能导致这种出生缺陷。需要进一步的观察性研究来验证这一假设。

相似文献

1
Uterine contraction in the development of Möbius syndrome.先天性面瘫综合征发展过程中的子宫收缩。
J Child Neurol. 1997 Apr;12(3):225-7. doi: 10.1177/088307389701200315.
2
Ergotamine as a possible cause of Möbius sequence: additional clinical observation.麦角胺作为莫比乌斯序列的可能病因:补充临床观察
J Child Neurol. 2004 May;19(5):398. doi: 10.1177/088307380401900518.
3
Möbius syndrome in a neonate after mifepristone and misoprostol elective abortion failure.米非司酮和米索前列醇选择性流产失败后新生儿出现莫比乌斯综合征。
Ann Pharmacother. 2008 Jun;42(6):888-92. doi: 10.1345/aph.1K550. Epub 2008 May 6.
4
Use of misoprostol during pregnancy and Möbius' syndrome in infants.孕期使用米索前列醇与婴儿的莫比乌斯综合征
N Engl J Med. 1998 Jun 25;338(26):1881-5. doi: 10.1056/NEJM199806253382604.
5
A possible dose-dependent teratogenic effect of ergotamine.麦角胺可能存在剂量依赖性致畸作用。
Reprod Toxicol. 2006 Oct;22(3):551-2. doi: 10.1016/j.reprotox.2006.03.002. Epub 2006 May 2.
6
Teratogen update: ergot and ergotamine.致畸剂最新情况:麦角及麦角胺
Teratology. 1995 May;51(5):344-7. doi: 10.1002/tera.1420510511.
7
Congenital abnormalities in Brazilian children associated with misoprostol misuse in first trimester of pregnancy.巴西儿童先天性异常与妊娠早期米索前列醇滥用有关。
Lancet. 1998 May 30;351(9116):1624-7. doi: 10.1016/S0140-6736(97)12363-7.
8
Is misoprostol teratogenic? Misoprostol use during early pregnancy and its association with Möbius' syndrome.米索前列醇有 teratogenic 性吗?妊娠早期使用米索前列醇及其与莫比乌斯综合征的关联。 (注:“teratogenic”常见释义为“致畸的” )
Can Fam Physician. 1999 Feb;45:315-6.
9
Birth defects following maternal exposure to ergotamine, beta blockers, and caffeine.母亲接触麦角胺、β受体阻滞剂和咖啡因后出现的出生缺陷。
J Med Genet. 1988 Jun;25(6):396-9. doi: 10.1136/jmg.25.6.396.
10
Limb deficiency with or without Möbius sequence in seven Brazilian children associated with misoprostol use in the first trimester of pregnancy.七名巴西儿童出现肢体缺损,伴或不伴有默比厄斯序列征,与孕期头三个月使用米索前列醇有关。
Am J Med Genet. 1993 Aug 1;47(1):59-64. doi: 10.1002/ajmg.1320470113.

引用本文的文献

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Systematic phenotype and genotype characterization of Moebius syndrome.先天性面瘫综合征的系统表型和基因型特征分析
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2
Moebius syndrome: Craniofacial clinical manifestations and their association with prenatal exposure to misoprostol.莫比乌斯综合征:颅面部临床表现及其与产前暴露于米索前列醇的关联。
Laryngoscope Investig Otolaryngol. 2020 Aug 3;5(4):727-733. doi: 10.1002/lio2.377. eCollection 2020 Aug.
3
Examining the genetics of congenital facial paralysis--a closer look at Moebius syndrome.
先天性面瘫的遗传学研究——对莫比乌斯综合征的深入探讨
Oral Maxillofac Surg. 2015 Jun;19(2):109-16. doi: 10.1007/s10006-015-0485-6. Epub 2015 Feb 10.
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Congenital aberrant tearing: a re-look.先天性异常流泪:重新审视
Trans Am Ophthalmol Soc. 2008;106:100-15; discussion 115-6.
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Migraine during pregnancy: options for therapy.孕期偏头痛:治疗选择
CNS Drugs. 2005;19(6):465-81. doi: 10.2165/00023210-200519060-00001.
6
Mobius syndrome associated with ventricular septal defect.与室间隔缺损相关的莫比乌斯综合征。
Indian J Pediatr. 2001 May;68(5):455-6. doi: 10.1007/BF02723027.