Case of the Week # 153

Fabrice Cuillier, MD1, Elad T., MD2, Fossati P.,MD3

October 6 - October 27, 2005

1. Dept of Obstetrics and Gynecology, Hôpital Félix Guyon, rue des Topazes, 97400 Saint-Denis, Reunion Island, France. Ph : 0262 90 55 22.
2. Gynecology, Sainte Clothilde Clinic, Saint Denis , Reunion Island. France.
3. Radiology, Félix Guyon, Saint Denis , Reunion Island. France.

This was the ninth pregnancy of a 38-year-old woman, with no history of radiation or teratogenic exposure during early pregnancy. She underwent first routine first trimester ultrasound at 16 weeks of gestation. In an attempt to clarify the nature of the spinal deformity, three-dimensional ultrasound of the fetal spine was performed. Based on the ultrasound findings, the woman opted for elective termination of pregnancy.

Postnatal radiographs of the baby:

Photograph:

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This was the ninth pregnancy of a 38-year-old woman, with no history of radiation or teratogenic exposure during early pregnancy. She underwent first routine first trimester ultrasound at 16 weeks of gestation. In an attempt to clarify the nature of the spinal deformity,three-dimensional ultrasound of the fetal spine was performed. Based on the ultrasound findings, the woman opted for elective termination of pregnancy.

At 17 weeks, transverse view of the fetal head. We can see bilateral ventriculomegaly.

There is severe disruption of the normal spine with kyphoscoliosis and segmentation abnormalities.

3-D reformatted CT scan

Postnatal anterior and lateral radiographs views. Note the short neck and chest

Photograph:

This is Jarcho-Levin syndrome

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