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ultrasound diagnosis of fatal anomalies

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APPENDIX

Table 19.2

(Continue)

Disorder

Skull/vertebral

column

Central nervous

system

Facial findings

Neck/hygroma

colli

Extremities,

skeleton

Noonan

syndrome, p. 265

Hemivertebrae

Hypertelorism,

deep-set ears

1st and 2nd

trimester, cystic hygroma

with hydrops

Osteogenesis

imperfecta,

p. 159

Demineralization of

skull, intercalated

bone

Occ. hygroma colli

Short limbs, fractures,

narrow thorax,

possibly bell-shaped

thorax, reduced fetal

movements

Osteopetrosis Macrocephaly Hydrocephalus

Otopalatodigital

syndrome type I

Incomplete closure

of arches of isolated

vertebrae

Broad forehead,

hypertelorism,

supraorbital folds,

broad nasal bridge,

flat mid-face,

microgenia, cleft

palate

Short and stubby end

phalanges of hands

and feet (froghand),

swellingof large

joints and reduction

in movement

Otopalatodigital

syndrome type II

Wideningof cranial

sutures

Cleft palate, microgenia,

microstomia,

hypertelorism

Clenched fist, short

thumb, broad great

toe

1

Pena–Shokeir

syndrome, p.267

Microgenia,

depressed nasal

bridge, hypertelorism,

occ. cleft

palate

Multiple joint contractures,

ulnar deviation

of hands, club

feet, akinesia syndrome,

thoracic

hypoplasia, clenched

hands, camptodactyly

Perlman

syndrome

2

Peters-plus

syndrome

Occ. microcephaly

Occ. hydrocephalus,

agenesis of corpus

callosum

Microgenia, round,

broad face, cloudingof

cornea

Short-limb dwarfism,

clinodactyly of the

5th finger

3

Pfeiffer

syndrome

(acrofacial

dysostosis)

Craniosynostosis,

brachycephaly,

acrocephaly, occ.

cloverleaf skull,

fused vertebral

bodies

Occ. dilation of ventricle

Depressed nasal

bridge, hypertelorism,

occ.

choanal atresia

Broad thumbs and

bigtoes, partial syndactyly

4

Pierre Robin

sequence, p.270

Potter sequence

Occ. neural tube

defects

Occ. wideningof

ventricles

Microgenia, cleft

palate

Narrow thorax

5

340

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