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P38Prenatal diagnosis of severe hypotonia and polihydramnius in a fetus with mitochondrial disorder
Author(s) -
De León J. A.,
Pérez Fernández R.,
Granados M.,
González M.,
López J.,
Clavero J.
Publication year - 2000
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 - 10.1046/j.1469-0705.2000.00004-1-38.x
Subject(s) - hypotonia , medicine , hyporeflexia , pathological , biophysical profile , fetus , polyhydramnios , caesarean section , gestation , pregnancy , hypoxia (environmental) , pediatrics , obstetrics , surgery , weakness , chemistry , organic chemistry , biology , oxygen , genetics
The diagnosis of polihydramnius is ultrasound and can be measure with a various test but finally the result is the increment of the amnioticus liquid. It is secundary from a differents pathological situations but severe hypotonia is a rare cause. The hypotonia is the result of a heterogeneous group of conditions including severe hypoxia, neuromuscular disorder, deposit disease, chromosomal, and mitochondrial pathology. Case report A 30‐year‐old woman in the 40th week of gestation came to us referring a decrease in foetal movements during the last 24 h. The pregnancy curse had been normal. The foetal heart rate variability was pathological and the ultrasound study showed a decrease in respiratory movements, foetal movements and foetal tone with a abnormal amniotic liquid volume. The foetus was delivered by urgency caesarean section. A 3160‐g male was born, Apgar 6/8, pH 7.32. The newborn was taken to nciu and the neonatal outcome was unfavourable. The newborn had a severe hypotonia, hyporeflexia, the eec was pathological. Finally the newborn died.