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积水性无脑畸形合并肾发育不全:偶然发现?病例报告及文献复习

Hydranencephaly with renal dysgenesis: a coincidental finding? Case report with review of the literature.

作者信息

Gschwendtner A, Mairinger T, Soelder E, Alge A, Kreczy A

机构信息

Department of Pathology, University of Innsbruck, Austria.

出版信息

Gynecol Obstet Invest. 1997;44(3):206-10. doi: 10.1159/000291522.

DOI:10.1159/000291522
PMID:9359650
Abstract

We present the case of a female fetus aborted in the 20th week of gestation due to severely dysplastic kidneys, anhydramnios and hydranencephalus. The combination of these malformations is extremely rare, resulting in only 4 cases described so far. Our case is the first ever presented in a female showing polycystic-dysplastic kidneys. Multiple multinucleated neurons were a remarkable finding in the remnants of the brain. The possibility of an underlying genetic disorder is discussed, together with a brief review of the literature to date.

摘要

我们报告一例妊娠20周时因严重发育不良性肾脏、羊水过少和积水性无脑畸形而流产的女胎病例。这些畸形的组合极为罕见,迄今为止仅报道过4例。我们的病例是首例报道的患有多囊发育不良性肾脏的女性病例。在脑残留物中发现多个多核神经元是一个显著特征。本文讨论了潜在遗传疾病的可能性,并对迄今为止的文献进行了简要综述。

相似文献

1
Hydranencephaly with renal dysgenesis: a coincidental finding? Case report with review of the literature.积水性无脑畸形合并肾发育不全:偶然发现?病例报告及文献复习
Gynecol Obstet Invest. 1997;44(3):206-10. doi: 10.1159/000291522.
2
Meckel-Gruber Syndrome with unilateral renal agenesis.伴有单侧肾缺如的梅克尔-格鲁伯综合征
J Coll Physicians Surg Pak. 2015 Apr;25 Suppl 1:S56-7.
3
Normal nephrogenesis occurs in the early stage of bilateral multicystic dysplastic kidneys.正常肾发生在双侧多囊性发育不良肾的早期阶段。
Arch Gynecol Obstet. 2002 Jul;266(3):133-5. doi: 10.1007/s004040100188.
4
Antenatal ultrasound diagnosis of an unusual case of hydranencephaly.产前超声诊断一例罕见的积水性无脑畸形病例。
J Clin Ultrasound. 1984 Sep;12(7):420-2. doi: 10.1002/jcu.1870120708.
5
[Prenatal diagnosis of Meckel-Gruber syndrome. Case report and literature review].[梅克尔-格鲁伯综合征的产前诊断。病例报告及文献综述]
Ginecol Obstet Mex. 2016 Feb;84(2):105-11.
6
Severe ovarian dysgenesis and enlarged dysplastic kidneys in two siblings with normal karyotypes.
Fertil Steril. 2003 Jan;79(1):209-11. doi: 10.1016/s0015-0282(02)04560-0.
7
Fetal compensatory renal hypertrophy with a unilateral functioning kidney.单侧功能性肾脏的胎儿代偿性肾肥大。
Ultrasound Obstet Gynecol. 2000 Mar;15(3):191-3. doi: 10.1046/j.1469-0705.2000.00064.x.
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Prenatal diagnosis of dysplastic kidney disease.发育异常性肾病的产前诊断
Clin Genet. 1977 May;11(5):375-8. doi: 10.1111/j.1399-0004.1977.tb01330.x.
9
[Polycystic renal dysplasia].[多囊性肾发育不良]
Pol Przegl Radiol. 1987 Sep-Oct;51(5):250-4.
10
[Hereditary renal agenesis . Report of a case].[遗传性肾缺如。一例报告]
Minerva Ginecol. 1998 Jun;50(6):255-9.

引用本文的文献

1
The genetic etiologies of bilateral renal agenesis.双侧肾发育不全的遗传病因。
Prenat Diagn. 2024 Feb;44(2):205-221. doi: 10.1002/pd.6516. Epub 2024 Jan 5.
2
An Amish founder variant consolidates disruption of CEP55 as a cause of hydranencephaly and renal dysplasia.一个阿米什人变异种导致 CEP55 破坏,引起无脑畸形和肾发育不良。
Eur J Hum Genet. 2019 Apr;27(4):657-662. doi: 10.1038/s41431-018-0306-0. Epub 2019 Jan 8.
3
A truncating mutation in CEP55 is the likely cause of MARCH, a novel syndrome affecting neuronal mitosis.
CEP55基因中的截短突变可能是MARCH的病因,MARCH是一种影响神经元有丝分裂的新型综合征。
J Med Genet. 2017 Jul;54(7):490-501. doi: 10.1136/jmedgenet-2016-104296. Epub 2017 Mar 6.
4
Hydranencephaly: cerebral spinal fluid instead of cerebral mantles.积水性无脑畸形:脑脊液替代了大脑皮质。
Ital J Pediatr. 2014 Oct 18;40:79. doi: 10.1186/s13052-014-0079-1.