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[羊水过多的罕见病因:斯坦纳特综合征。1例临床病例报告]

[A rare cause of polyhydramnios: Steinert's syndrome. A clinical case report].

作者信息

Palmerio G, Rosaschino P, Castelli G, Zambetti E, Bianchi P, Martinelli D

机构信息

Divisione di Ginecologia e Ostetricia, Ospedale Bolognini, Seriate, Bergamo.

出版信息

Minerva Ginecol. 1997 Jan-Feb;49(1-2):49-52.

PMID:9162886
Abstract

Steinert's syndrome is a systemic disease with autosome mother-to-child transmission, characterized by myotonia and muscular dystrophia. The syndrome's clinical characteristics include: respiratory and alimentation diseases, facial diplegia, generalized hypotonia, areflexia, atrophy, arthrogryposis, hydramnios, retard in psychomotor development, cataract and genital disorders. A case of pregnancy occurs in Steinert syndrome's patient with hydramnios as a predominant symptom, is presented. At birth, in the congenital neonatal form, there is grave, generalized hypotonia which causes a very quick death of the newborn. There are not many characters which can be found out by ultrasound: hydramnios, reduction of fetal tone and active movements, micrognathia. Consequently it is of the utmost importance in those cases an adequate prenatal genetic counseling and a correct obstetrical management.

摘要

斯坦纳特综合征是一种常染色体母婴传播的全身性疾病,其特征为肌强直和肌肉萎缩。该综合征的临床特征包括:呼吸和营养疾病、面瘫、全身肌张力减退、无反射、萎缩、关节挛缩、羊水过多、精神运动发育迟缓、白内障和生殖器疾病。本文介绍了一例以羊水过多为主要症状的斯坦纳特综合征患者妊娠病例。出生时,先天性新生儿型表现为严重的全身肌张力减退,可导致新生儿很快死亡。超声检查可发现的特征不多:羊水过多、胎儿肌张力降低和活动减少、小颌畸形。因此,在这些病例中,充分的产前遗传咨询和正确的产科管理至关重要。

相似文献

1
[A rare cause of polyhydramnios: Steinert's syndrome. A clinical case report].[羊水过多的罕见病因:斯坦纳特综合征。1例临床病例报告]
Minerva Ginecol. 1997 Jan-Feb;49(1-2):49-52.
2
[Epidemiological study of Steinert's congenital myotonic dystrophy: dysmorphological characteristics].斯坦纳特先天性肌强直性营养不良的流行病学研究:畸形特征
An Esp Pediatr. 1999 Oct;51(4):389-96.
3
[Steinert's disease and pregnancy. A case report and recent literature].[施泰纳特病与妊娠。一例病例报告及近期文献]
J Gynecol Obstet Biol Reprod (Paris). 1995;24(2):177-80.
4
[Hydramnios as evidence of Steinert's congenital myotonic distrophy (author's transl)].羊水过多作为斯坦纳特先天性肌强直性营养不良的证据(作者译)
J Gynecol Obstet Biol Reprod (Paris). 1980;9(3):373-6.
5
[Dystrophia myotonica and pregnancy].[强直性肌营养不良症与妊娠]
Ned Tijdschr Geneeskd. 1992 Dec 12;136(50):2480-2.
6
[Steinert's disease and pregnancy].[施泰纳特病与妊娠]
Sem Hop. 1978;54(21-24):758-61.
7
Neonatal myotonic dystrophy as a cause of hydramnios and neonatal death. A case report and literature review.新生儿强直性肌营养不良作为羊水过多和新生儿死亡的原因:一例报告及文献综述
J Reprod Med. 1983 Sep;28(9):595-9.
8
[Clinical and genetic aspects of the early form of Steinert's dystrophia myotonica].[斯坦纳特型强直性肌营养不良早期形式的临床与遗传学方面]
J Genet Hum. 1975 Oct;23 SUPPL:146-57.
9
[Steinert's disease and puerperalism].[施泰纳特病与产褥热]
Gynecol Obstet (Paris). 1969 Jan-Mar;68(1):93-8.
10
[Steinert's myotonic dystrophy: severe neonatal form with unknown family history].斯坦纳特型强直性肌营养不良:无家族病史的严重新生儿型
Acta Biomed Ateneo Parmense. 2000;71 Suppl 1:755-7.