How to Explore Fetal Sacral Agenesis Without Open Dysraphism: Key Prenatal Imaging and Clinical Implications.
Fiche publication
Date publication
janvier 2018
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
Auteurs
Membres identifiés du Cancéropôle Est :
Dr CHAUSSY Yann, Pr AUBER Frédéric
Tous les auteurs :
Mottet N, Chaussy Y, Auber F, Guimiot F, Arbez-Gindre F, Riethmuller D, Cretolle C, Benachi A
Lien Pubmed
Résumé
The estimated prevalence of fetal caudal dysgenesis is 1 per 100,000 births. The functional prognosis of sacral agenesis is dominated by the large spectrum of associated caudal malformations. Except for cases associated with hydrocephalus secondary to open spinal dysraphism or chromosomal anomalies, association with mental deficiency is rare. We propose a systematic prenatal approach to cases of fetal sacral agenesis based on 9 etiologic items: clinical context, type of sacral dysgenesis, associated spinal cord malformations, mobility of lower limbs, investigation of the presacral region, analysis of the gastrointestinal tract, analysis of the genitourinary tract, associated vertebral defects, and cytogenetic analysis.
Mots clés
Currarino syndrome, obstetrics (detailed fetal anatomy), obstetrics (second trimester), sacral agenesis, spinal dysraphism, spinal lipoma
Référence
J Ultrasound Med. 2018 Jan 27;: