Prenatal Third Trimester Sonographic Behavior of a Thanatophoric Dwarfs

Abdulkadir, Adekunle Y. and Isyaku, Kabiru and Dare, Akintade and Abdullahi, Sulaiman G. and Idris, Sule K. and Tabari, Abdulkadir M (2008) Prenatal Third Trimester Sonographic Behavior of a Thanatophoric Dwarfs. Journal of prenatal medicine, 2 (4). pp. 42-46. ISSN 1971-3290

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Abstract

Background. Thanatophoric dysplasia (TD), the most common of the congenital lethal skeletal dysplasias occurs sporadically in 1/64,000-100,000 live births. To the best of our knowledge, the in utero attitudes and behaviours of such babies with serial ultrasound scans have not been previously described. Objectives. To present the in utero third trimester sonographic behaviors of TD in a 22-year-old primigravida diagnosed at ‘32weeks’ gestational age along with the clinical and radiographic characteristics. Methods. The same radiologists to observe the behavior of a thanatophoric dwarfs did three fortnights serial ultrasound scans. Results. The baby was found to have short limbs that were constantly in rigid abduction, flexed at both elbows and knees, and demonstrated poverty of synchronous movements. The upper limbs were perpetually in embracing position during all scans. In addition, he was hyperactive, showing “yoyo” body movement and constantly hyper-extended neck. Postmortem radiograph was diagnostic of TD. Conclusion. Though he baby died intra partum, the observed attitudes and behaviors on serial prenatal ultrasonography, which provided us with sufficient information to counsel the family, managed the pregnancy, and direct the postnatal evaluation could possibly add to the in utero diagnostic sonographic features of TD.

Item Type:	Article
Uncontrolled Keywords:	Dwarfism, fetal anomalies, obstetrics ultrasonography, plane radiograph, thanatophoric dysplasia
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria > 618.2 Ostetricia
Depositing User:	Gianni Aiello
Date Deposited:	14 Feb 2014 11:43
Last Modified:	20 Feb 2015 15:32
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5767

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