Abstract
We present a case of fetal Wolf-Hirschhorn syndrome diagnosed by conventional two-dimensional and three-dimensional ultrasonography. Conventional two-dimensional ultrasonography revealed a diaphragmatic hernia, nuchal edema, and suspected hypospadias. Three-dimensional ultrasonography clearly showed a flattening of the face, a high forehead, a broad nasal bridge continuing to the forehead, exophthalmos, and micrognathia (resembling the appearance of a Greek warrior helmet), but conventional two-dimensional ultrasonography did not depict these findings. Prenatal chromosomal analysis confirmed the diagnosis of Wolf-Hirschhorn syndrome [46XY, del(4)(p15.2)]. Here we demonstrate how three-dimensional ultrasonography provided a novel visual depiction of the facial dysmorphism, which helped substantially in prenatal counseling.
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Hanprasertpong, T., Hanaoka, U., Zhang, X. et al. Three-dimensional sonographic features of a fetus with Wolf-Hirschhorn syndrome. J Med Ultrasonics 35, 197–199 (2008). https://doi.org/10.1007/s10396-008-0182-2
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DOI: https://doi.org/10.1007/s10396-008-0182-2