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Lethal multiple pterygium syndrome: Report of a case with neurological anomalies

✍ Scribed by Spearritt, D. J. ;Tannenberg, A. E. G. ;Payton, D. J.


Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
607 KB
Volume
47
Category
Article
ISSN
0148-7299

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✦ Synopsis


We report on a 22-week female fetus with multiple pterygia, congenital joint contractures, muscle hypoplasia, cystic hygroma, hydrops, pulmonary and cardiac hypoplasia, facial anomalies, and growth retardation. Examination also documented microcephaly, brain immaturity, and severe cerebellar and pontine hypoplasia with absence of the pyramidal tracts. The spinal cord showed a marked decrease in size of all white matter tracts. The muscles were markedly hypoplastic. The relation of the neurological findings to the development of the syndrome is discussed.


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## Abstract We report 4 cases and review 7 from the literature with a pattern suggesting a variable early lethal multiple congenital anomaly syndrome. This was first reported by von Voss et al. [1979: β€œKlinische Genetik in der PΓ€diatrie,” pp 70–74 ] and Cherstvoy et al. [1980: Lancet ii:485], and c