1. DIAGNOSTIC ECHOGRAPHIQUE TARDIF D'ANENCEPHALIE : À PROPOS DE 03 CAS A BOUAKE.
- Author
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Yao, Brou Lambert, Soro, Malick, Bravo-Tsri, Akoli Eklou Baudouin, Yaya, Samaké, Tanoh, Kesse Emile, Kouassi, Kouamé Paul Bon-fils, Kouadio, Allou Florent, Kouakou, Bouassa Davy Mélaine, Sanogo, Sara Carole, and KonatE, Issa
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MISCARRIAGE , *NEURAL tube , *PREGNANT women , *PRENATAL diagnosis , *CENTRAL nervous system - Abstract
Introduction: Anencephaly is an anomaly of closure of the anterior neuropore of the neural tube. It is therefore a pathology of the central nervous system occurring between the 23rd and 27th day of embryonic life which is not compatible with postnatal life. In Ivory Coast, more precisely in Bouaké, antenatal diagnosis of anencephaly is late due to inaccessibility to care and delay in consultation. The objective is to report our experience in antenatal diagnosis of anencephaly. Observation and patient: We received three pregnant women in the ultrasound unit of the Radiology department of the Bouaké University Hospital as part of a prenatal assessment. Case 1: 32-year-old G5P3 pregnant woman with spontaneous abortion and no other particular history. Case 2: 27-year-old G2P1 pregnant woman with no particular history performing an obstetric ultrasound for the first time. Case 3: 37-year-old G7P6 pregnant woman with no particular history performing an obstetric ultrasound for the second time. Results: The ultrasounds performed showed two male fetuses and one male fetus, without skull and brain with a globular appearance of the eyes and polyhydramnios. Case 1 was 30 weeks old on ultrasound, without cardiac activity and without any other associated malformation. Case 2 was 29 weeks old on ultrasound with cardiac activity and rachischisis discovered postnatally. Case 3 was 31 weeks old on ultrasound, without cardiac activity and without any other associated malformation. Conclusion: Anencephaly is a rare malformation that can be isolated or associated with different malformations. Its diagnosis is antenatal and based on early obstetric ultrasound from 11 weeks of amenorrhea. However in our current practice this diagnosis is generally late. [ABSTRACT FROM AUTHOR]
- Published
- 2024