Abstract
SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2005 Mart; 12(1)
Fetal akrani vakalarında erken tanı'nın önemi: iki olgunun sunumu
Hasan Şahiner
Özet
Fetal akrani kraniyal çatı kemiklerinin bir kısmı yada tamamının yokluğu, beynin ince bir zar veya deri ile kaplı olduğu çok seyrek ve fatal seyirli bir anomalidir. Biz son adet tarihine göre 17 ve 36 haftalık takipsiz iki ayrı gebedeki fetal akrani olgularını sunduk. İlk fetuste akrani ile birlikte vertebral kolonda defekt saptarken, diğer fetuste ek bir anomali yoktu. Akrani tanısı kafa kemiklerinin kalsifikasyonunun tamamlanmasından sonra ultrasonografi ile konulabilir. Fetal akranide hem maliyeti düşürmesi ve yapılan girişimi azaltması, hem de aileye verdiği psikolojik zararın az olması nedeniyle erken dönem tanı önemlidir.
Anahtar kelimeler: Akrani, Erken tanı, Ultrasonografi, Nöral tüp defekti
Abstract
In Importance of Early Diagnosis in Fetal Acrania: the reports of two cases
Fetal acrania is a very rare and fatal anomaly in which the scalp bones are totally or partially absent and the brain is covered with a thin membrane or skin. In this report we presented two cases of fetal acrani one at 17 weeks and the other at 36 weeks of gestation by last menstrual period which both has not been followed up antenatally. One of the fetuses had a defect in vertebral colon together with acrania but the other had no additional anomaly. Acrania can be diagnosed by ultrasonography after the completion of cranial ossification. The early diagnosis is crucial in fetal acrania to decrease the costs, the number of interventions and the psychological burden to the family.
Key words: Acrania, Early diagnosis, US, Neural tube defect
Keywords
References
- Bianca S, Ingegnosi C, Auditore S. et al. Prenatal diagnosis and postnatal findings of acrania. Arch Gynecol Obstet 2004 (In Press).
- Chen CP, Chang TY, Lin YH, Wang W. Prenatal sonographic diagnosis of acrania associated with amniotic bands. J Clin Ultrasound 2004; 32(5): 256- 60.
- Kaya H, Sezik M, Özkaya O, Aydýn AR. Miadýnda fetal akrania. Perinatoloji Dergisi 2004; 12(2): 96-9.
- Weissman A, Duikman R, Auslender R. Fetal acrania: five new cases and review of the literature. J Clin Ultrasound 1997; 25: 511-4.
- Cheng CC, Lee FK, Lin HW, Shih JC, Tsai MS. Diagnosis of fetal acrania during the first trimester nuchal translucency screening for Down syndrome. Int J Gynaecol Obstet 2003; 80: 139-44.
- Bronshtein M, Ornoy A. Acrania: anencephaly resulting from secondary degeneration of closed neural tube: two cases in the same family. J Clin Ultrasound 1991; 19: 230-4.
- Tongsong T, Pongsatha S. Early prenatal sonographic diagnosis of congenital hypophosphatasia. Ultrasound Obstet Gynecol 2000; 15: 252-5.
- Kurata H, Tamaki N, Sawa H, et al. Acrania: report of first surviving case. Pediatr Neurosurg 1996; 24: 52- 4.
Abstract
References
- Bianca S, Ingegnosi C, Auditore S. et al. Prenatal diagnosis and postnatal findings of acrania. Arch Gynecol Obstet 2004 (In Press).
- Chen CP, Chang TY, Lin YH, Wang W. Prenatal sonographic diagnosis of acrania associated with amniotic bands. J Clin Ultrasound 2004; 32(5): 256- 60.
- Kaya H, Sezik M, Özkaya O, Aydýn AR. Miadýnda fetal akrania. Perinatoloji Dergisi 2004; 12(2): 96-9.
- Weissman A, Duikman R, Auslender R. Fetal acrania: five new cases and review of the literature. J Clin Ultrasound 1997; 25: 511-4.
- Cheng CC, Lee FK, Lin HW, Shih JC, Tsai MS. Diagnosis of fetal acrania during the first trimester nuchal translucency screening for Down syndrome. Int J Gynaecol Obstet 2003; 80: 139-44.
- Bronshtein M, Ornoy A. Acrania: anencephaly resulting from secondary degeneration of closed neural tube: two cases in the same family. J Clin Ultrasound 1991; 19: 230-4.
- Tongsong T, Pongsatha S. Early prenatal sonographic diagnosis of congenital hypophosphatasia. Ultrasound Obstet Gynecol 2000; 15: 252-5.
- Kurata H, Tamaki N, Sawa H, et al. Acrania: report of first surviving case. Pediatr Neurosurg 1996; 24: 52- 4.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | April 6, 2009 |
| Submission Date | April 3, 2009 |
| Published in Issue | Year 2005 Volume: 12 Issue: 1 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.