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PRENATAL DIAGNOSIS OF PARTIAL MONOSOMY 13q ASSOCIATED WITH OCCIPITAL ENCEPHALOCOELE IN A FETUS

โœ Scribed by CHIH-PING CHEN; FEN-FEN LIU; SHEAU-WEN JAN; KUO-GON WANG; CHUNG-CHI LAN


Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
550 KB
Volume
16
Category
Article
ISSN
0197-3851

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โœฆ Synopsis


The pre-and postnatal findings of a fetus with a de novo del(l3)(pter+q21:) and an occipital encephalocoele are described. Maternal serum alpha-fetoprotein (AFP) screening at 19 weeks' gestation demonstrated a high level of 2.5 multiples of the median (MOM) and ultrasonography at 27 weeks' gestation showed severe intrauterine growth retardation, cardiomegaly, an occipital encephalocoele, and a calvarial defect. Genetic amniocentesis revealed a karyotype of 46,XX,del( 13)(pter+q21:). The proband postnatally displayed additional abnormalities such as microphthalmia, hypertelorism, large low-set ears, and micrognathia. We discuss the association of central nervous system (CNS) malformations with 13q deletions and emphasize that pregnancies with neural tube defects warrant cytogenetic analysis, especially when additional fetal abnormalities and neonatal dysmorphism are observed.


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