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EP07.04: A case of third trimester diagnostics of gigantic meningoencephalocele
Author(s) -
Yarygina T.A.,
Petevotian S.,
Chugunova L.,
Gus A.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21230
Subject(s) - medicine , obstetrics , gestational age , spina bifida , apgar score , fetus , vaginal bleeding , pregnancy , surgery , pediatrics , genetics , biology
A 37 years old nulliparous patient with unremarkable medical and family history and no consanguinity. The first ultrasound scan was performed at 33+4 weeks of gestational age due to late booking. There was one alive fetus in the cephalic position with EFW 8.0 centile, normal Doppler and normal AF volume. The scan revealed severe fetal CNS anomaly: only frontal and temporal bones were partially seen, absence of parietal and occipital bones with meningoencephalocele contained fluid, abnormal brain tissue, and meninges, and extensive spina bifida of the cervical vertebrae with meningomyelocele. Their overall size accounted for 11.3*9.5*12.0 cm. View had been restricted by fetus position, gestational age and the size of the meningoencephalocele.