Concordant occipital encephalocele in monoamniotic twins
-
Devrim Ertunc
Abstract
Anomalies occur with a greater frequency in twin gestations. Due to its multifactorial inheritance, twins are usually discordant for encephalocele. We present a case of monoamniotic twins concordant for occipital encephalocele and discordant for lung and cord anomalies. Ultrasonographic examination at 17 weeks' gestation revealed occipital encephalocele in both fetuses. The maternal serum level of alpha-fetoprotein was increased. Fetal autopsy revealed occipital encepaholocele in both twins and right pulmonary hypoplasia and one umbilical artery in one sibling. Monoamniotic twins concordant for encephalocele occur with extreme rarity. To the best of our knowledge, monoamniotic twins concordant for this neural tube defect have not been previously reported.
References
1 Machin GA: Why is it important to diagnose chorionicity and how do we do it? Best Pract Res Clin Obstet Gynaecol18 (2004) 51510.1016/j.bpobgyn.2004.04.013Search in Google Scholar PubMed
2 Agthong S, V Wiwanitkit: Encephalomeningocele cases over 10 years in Thailand: a case series. BMC Neurol2 (2002) 3Search in Google Scholar
3 Timor-Tritsch IE, A Monteagudo: Transvaginal sonographic evaluation of the fetal central nervous system. Obstet Gynecol Clin North Am18 (1991) 713Search in Google Scholar
4 Bannister CM, SA Russell, S Rimmer: Can prognostic indicators be identified in a fetus with an encephalocele? Eur J Pediatr Surg10 (Suppl 1) (2000) 2010.1055/s-2008-1072408Search in Google Scholar PubMed
5 Windham GC, LE Sever: Neural tube defects among twin births. Am J Hum Genet34 (1982) 988Search in Google Scholar
6 Hansen LM, AE Donnenfeld: Concordant anencephaly in monoamniotic twins and an analysis of maternal serum markers. Prenat Diagn17 (1997) 471Search in Google Scholar
7 Becker R, A Novak, KH Rudolph: A case of occipital encephalocele combined with right lung aplasia in a twin pregnancy. J Perinat Med21 (1993) 253Search in Google Scholar
8 Salonen R, P Paavola: Meckel syndrome. J Med Genet35 (1998) 497Search in Google Scholar
9 Monteagudo A, A Alayon, P Mayberry: Walker-Warburg syndrome: case report and review of the literature. J Ultrasound Med20 (2001) 419Search in Google Scholar
© Walter de Gruyter
Articles in the same Issue
- The epidemiology of preterm labor – a global perspective
- Erythropoietin and prematurity – where do we stand?
- The quality of nifedipine studies used to assess tocolytic efficacy: a systematic review
- Unexplained intrauterine fetal death is accompanied by activation of complement
- Anaphylatoxins in preterm and term labor
- The transcription factor Ets-1 is expressed in human amniochorionic membranes and is up-regulated in term and preterm premature rupture of membranes
- Recombinant human lactoferrin has preventive effects on lipopolysaccharide-induced preterm delivery and production of inflammatory cytokines in mice
- Laparoscopic and vaginal repair of uterine scar dehiscence following cesarean section as detected by ultrasound
- Cerebral ventricular volume assessment by three-dimensional ultrasonography
- Nomogram of the fetal gastric size development in normal pregnancy
- Therapeutic hypothermia: from lab to NICU
- Alveolar capillary dysplasia: a six-year single center experience
- Spina bifida – a follow-up study of neonates born from 1991 to 2001
- Concordant occipital encephalocele in monoamniotic twins
- Changes of lactate, glucose, ionized calcium and glutamate concentrations in cephalic vein blood during brain hypothermia using extracorporeal membrane oxygenation (ECMO) in a newborn infant with hypoxic-ischemic encephalopathy
- Treatment of symptomatic congenital cytomegalovirus infection with valganciclovir
- A coiled nasogastric tube in a newborn
Articles in the same Issue
- The epidemiology of preterm labor – a global perspective
- Erythropoietin and prematurity – where do we stand?
- The quality of nifedipine studies used to assess tocolytic efficacy: a systematic review
- Unexplained intrauterine fetal death is accompanied by activation of complement
- Anaphylatoxins in preterm and term labor
- The transcription factor Ets-1 is expressed in human amniochorionic membranes and is up-regulated in term and preterm premature rupture of membranes
- Recombinant human lactoferrin has preventive effects on lipopolysaccharide-induced preterm delivery and production of inflammatory cytokines in mice
- Laparoscopic and vaginal repair of uterine scar dehiscence following cesarean section as detected by ultrasound
- Cerebral ventricular volume assessment by three-dimensional ultrasonography
- Nomogram of the fetal gastric size development in normal pregnancy
- Therapeutic hypothermia: from lab to NICU
- Alveolar capillary dysplasia: a six-year single center experience
- Spina bifida – a follow-up study of neonates born from 1991 to 2001
- Concordant occipital encephalocele in monoamniotic twins
- Changes of lactate, glucose, ionized calcium and glutamate concentrations in cephalic vein blood during brain hypothermia using extracorporeal membrane oxygenation (ECMO) in a newborn infant with hypoxic-ischemic encephalopathy
- Treatment of symptomatic congenital cytomegalovirus infection with valganciclovir
- A coiled nasogastric tube in a newborn
