Fetal cervical hyperextension in arthrogryposis.
Amyoplasia
arthrogryposis
cervical hyperextension
fetal cervical hyperextension
monozygotic twins
uterine anomalies
Journal
American journal of medical genetics. Part C, Seminars in medical genetics
ISSN: 1552-4876
Titre abrégé: Am J Med Genet C Semin Med Genet
Pays: United States
ID NLM: 101235745
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
03
06
2019
revised:
11
07
2019
accepted:
14
07
2019
pubmed:
28
7
2019
medline:
23
4
2020
entrez:
28
7
2019
Statut:
ppublish
Résumé
Perhaps the most dramatic position of a newborn after delivery is when there is hyperextension of the neck and spine. It will have been presented in utero and today, almost always, such babies will have been delivered by C-section. The associated anomalies are variable. The process(es) that can lead to cervical hyperextension is/are largely unknown. The outcome is variable from lethal to completely resolve. Individuals with arthrogryposis and in particular with Amyoplasia appear to have an increased frequency of neck, cervical, and spine hyperextension at birth. We present here 41 cases of arthrogryposis (mainly Amyoplasia) with fetal cervical hyperextension. The outlook is surprisingly good if spinal cord trauma does not occur. Ultrasound late in pregnancy when arthrogryposis is recognized prenatally should determine whether cervical hyperextension has developed, so that appropriate preventive measures can be taken.
Identifiants
pubmed: 31350810
doi: 10.1002/ajmg.c.31727
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
354-362Informations de copyright
© 2019 Wiley Periodicals, Inc.
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