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Prenatal diagnosis and clinical significance of cephalocele-A single institution experience and literature review.
- Source :
- Prenatal Diagnosis; Apr2020, Vol. 40 Issue 5, p612-617, 6p
- Publication Year :
- 2020
-
Abstract
- <bold>Objectives: </bold>To determine the frequency of genetic and additional structural abnormalities as well as pregnancy outcomes in fetuses with prenatally diagnosed cephalocele.<bold>Methods: </bold>A retrospective analysis of data retrieved from ultrasound examinations and genetic testing in fetuses with cephalocele diagnosed between 2006 and 2018 in a tertiary referral hospital along with a systematic literature search in the PubMed database on fetuses with prenatally diagnosed cephalocele.<bold>Results: </bold>Twenty-one out of 36 fetuses were found to have additional structural anomalies (58.3%). In four fetuses, anomalies were consistent with limb-body wall complex, in five with Meckel-Gruber syndrome, and in one with amniotic band syndrome. Genetic abnormalities were present in 11.1% of fetuses (trisomy 6; microdeletion 22q11.21; microduplication 16p13.11; pathogenic variant in gene CC2D2A). Twenty-eight pregnancies were terminated (77.8%; 28/36); two were miscarried (5.6%; 2/36). All six children from pregnancies that continued were liveborn but only two survived the surgery and developed neurological sequence. Overall survival rate was 25% (2/8) with 0% intact survival.<bold>Conclusions: </bold>Additional structural anomalies are common in fetuses with cephalocele. A significant number of fetuses have genetic abnormalities, and a detailed genetic testing should be performed in all cases. The prognosis is poor with high mortality rate and 0% intact survival. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of neonatal diseases
CHROMOSOMES
CILIARY motility disorders
GENETIC mutation
MISCARRIAGE
NEONATAL diseases
NEURAL tube defects
RETROSPECTIVE studies
ABORTION
CYTOSKELETAL proteins
MULTIPLE human abnormalities
RETINITIS pigmentosa
PERINATAL death
CHROMOSOME abnormalities
CYSTIC kidney disease
FETAL ultrasonic imaging
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 01973851
- Volume :
- 40
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Prenatal Diagnosis
- Publication Type :
- Academic Journal
- Accession number :
- 142847612
- Full Text :
- https://doi.org/10.1002/pd.5654