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Ultrasound Examination of the Fetus: Externally Visible Body Defects

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The High-Risk Fetus

Abstract

The majority of the externally visible abnormalities are included in this section and are presented in two parts. In the first part, cleft lip/ palate, cystic hygroma, nonimmune fetal hydrops, sacrococcygeal teratoma, and skeletal dysplasias are discussed. In the second part, defects of the central nervous system are described.

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References

  1. Smith DW. Recognizable patterns of human malformation. Philadelphia: WB Saunders; 1976.

    Google Scholar 

  2. Garden AS, Benzie RJ, Miskin M, Gardner HA. Fetal cystic hygroma colli: Antenatal diagnosis, significance, and management. Am J Obstet Gynecol. 1986;154:221.

    PubMed  CAS  Google Scholar 

  3. Rahmani MR, Fong KW, Connor TP. The varied sonographic appearance of cystic hygroma in utero. J Ultrasound Med. 1986;5:165.

    PubMed  CAS  Google Scholar 

  4. Macken MB, Granmyre EB, Vincer MJ. Regression of nuchal cystic hygroma in utero. J Ultrasound Med. 1989;8:101.

    PubMed  CAS  Google Scholar 

  5. Rottem S, Bronshtein M, Thaler I, Brandes JM. First trimester transvaginal sonographic diagnosis of fetal anomalies. Lancet. 1989;1:444.

    Article  PubMed  CAS  Google Scholar 

  6. Bronshtein M, Rottem S, Yoffe N. First-trimester and early second-trimester diagnosis of nuchal cystic hygroma by transvaginal sonography: Diverse prognosis of the septated from the nonseptated lesion. Am J Obstet Gynecol. 1989;161:78.

    PubMed  CAS  Google Scholar 

  7. Meizner I, Levy A, Cohen J. Spontaneous resolution of a nuchal fetal cystic hygroma diagnosed early in the second trimester of pregnancy. Am J Obstet Gynecol. 1990; 163: 267. Letler.

    PubMed  CAS  Google Scholar 

  8. Cullen MT, Green J, Whetham J, Salafia C, Gabrielli S, Hobbins JC. Transvaginal ultrasonographic detection of congenital anomalies in the first trimester. Am J Obstet Gynecol. 1990;163:4668.

    Google Scholar 

  9. Watson J, Campbell S. Antenatal evaluation and management in nonimmune hydrops fetalis. Obstet Gynecol. 1989;67:589.

    Google Scholar 

  10. Jauniaux E, Maldergem LV, De Munter C, Moscoso G, Gillerot Y. Nonimmune hydrops fetalis associated with genetic abnormalities. Obstet Gynecol. 1990;75:568.

    PubMed  CAS  Google Scholar 

  11. Saltzman DH, Frigoletto FD, Harlow BL, Barss VA, Benacerraf BR. Sonographic evaluation of hydrops fetalis. Obstet Gynecol. 1989;74:106.

    PubMed  CAS  Google Scholar 

  12. Salerno AP. Fetal sacrococcygeal teratoma. Perspect Probl Obstet/Gynecol. 1985;1:3.

    Google Scholar 

  13. Filly RA, Golbus MS, Carey JC, et al. Short-limbed dwarfism: Ultrasonographic diagnosis by mensuration of fetal femoral length. Radiology. 1981;138:653.

    PubMed  CAS  Google Scholar 

  14. Kurtz AB, Filly RA, Wapner RJ. In utero analysis of heterozygous achondroplasia: Variable time of onset as detected by femur length measurements. J Ultrasound Med. 1986;5:137.

    PubMed  CAS  Google Scholar 

  15. DeLange M, Rouse GA. Prenatal diagnosis of hypophosphatasia. J Ultrasound Med. 1990; 9:115.

    PubMed  CAS  Google Scholar 

  16. Sonek JD, Gabbe SG, Landon MB, Stempel LE, Foley MR, Shubert-Moell K. Antenatal diagnosis of sacral agenesis in a pregnancy complicated by diabetes mellitus. Am J Obstet Gynecol. 1985;162:806–808.

    Google Scholar 

  17. Socol ML, Sabbagha RE, Elias S. Prenatal diagnosis of congenital muscular dystrophy producing arthrogryposis. N Engl J Med. 1985;313:1230.

    PubMed  CAS  Google Scholar 

  18. Kennedy KA, Flick KJ, Thurmond AS. First trimester diagnosis of exencephaly. Am J Obstet Gynecol. 1990;162:461.

    PubMed  CAS  Google Scholar 

  19. Chervenak FA, Rosenberg J, Brightman RC, Chitkara U, Jeanty P. A prospective study of the accuracy of ultrasound in predicting fetal microcephaly. Obstet Gynecol. 1987;69:908.

    PubMed  CAS  Google Scholar 

  20. Chervenak FA, Jeanty P, Cantraine F, et al. The diagnosis of fetal microcephaly. Am J Obstet Gynecol. 1984;149:512.

    PubMed  CAS  Google Scholar 

  21. Goldstein I, Reece A, Pilu G, et al. Sonographic assessment of the fetal frontal lobe: A potential tool for prenatal diagnosis of microcephaly. Am J Obstet Gynecol. 1988;158:1057

    PubMed  CAS  Google Scholar 

  22. Jeanty P, Kepple D, Roussis P, Shah D. In utero detection of cardiac failure from aneurysm of the vein of Galen. Am J Obstet Gynecol. 1990;163:50.

    PubMed  CAS  Google Scholar 

  23. Ghidini A, Sirtori M, Vergani P. Fetal intracranial calcifications. Am J Obstet Gynecol. 1989;160:86.

    PubMed  CAS  Google Scholar 

  24. Pilu G, Reece A, Goldstein I, Hobbins JC, Bovicelli L. Sonographic evaluation of the normal developmental anatomy of the fetal cerebral ventricles: The atria. Obstet Gynecol. 1989;73:2505.

    Google Scholar 

  25. Pretorius DH, Drose LA, Manco-Johnson ML. Fetal lateral ventricular ratio determination during the second trimester. J Ultrasound Med. 1986;5:121.

    PubMed  CAS  Google Scholar 

  26. Dreazen E, Tessler F, Sarti D, Crandall BF. Spontaneous resolution of fetal hydrocephalus. J Ultrasound Med. 1989;8:155.

    PubMed  CAS  Google Scholar 

  27. Gabrielli S, Reece AE, Pilu G, et al. The clinical significance of prenatally diagnosed choroid plexus cysts. Am J Obstet Gynecol. 1989; 60:1207.

    Google Scholar 

  28. Chitkara U, Cogswell C, Norton K, Wilkins IA, Mehalek K, Berkowitz RL. Choroid plexus cysts in the fetus: A benign anatomic variant or pathologic entity? Report of 41 cases and review of the literature. Obstet Gynecol. 1988;72:185.

    PubMed  CAS  Google Scholar 

  29. Sabbagha RE. Targeted imaging for fetal anomalies: Clues to reaching a correct diagnosis. Obstet/Gynecol Rep 1990;2:142–147.

    Google Scholar 

  30. Russ PD, Pretorius DH, Johnson MJ. Dandy-Walker syndrome: A review of fifteen cases evaluated by prenatal ultrasound. Am J Obstet Gynecol. 1989;161:401.

    PubMed  CAS  Google Scholar 

  31. Bertino RE, Nyberg DA, Cyr DR, Mack LA. Prenatal diagnosis of agenesis of the corpus cal-losum. J Ultrasound Med. 1988;7:251.

    PubMed  CAS  Google Scholar 

  32. Hilpert PL, Kurtz AB. Prenatal diagnosis of agenesis of the corpus callosum using endova-ginal ultrasound. J Ultrasound Med. 1990;9:363.

    PubMed  CAS  Google Scholar 

  33. Benacerraf BR, Gelman R, Frigoletto FD. Sonographic identification of second-trimester fetuses with Down’s syndrome. N Engl J Med. 1987;317:1371.

    Article  PubMed  CAS  Google Scholar 

  34. Sabbagha RE, Tamura RK, Dal Compo S. Fetal cranial and craniocervical masses: Ultrasound characteristics and differential diagnosis. Am J Obstet Gynecol. 1980;138:511.

    PubMed  CAS  Google Scholar 

  35. Sabbagha RE, Sheikh Z, Tamura RK, et al. Predictive value, sensitivity, and specificity of ultrasonic targeted imaging for fetal anomalies in gravid women at high risk for birth defects. Am J Obstet Gynecol. 1985;152:822.

    PubMed  CAS  Google Scholar 

  36. Nadel AS, Green JK, Holmes LB, Frigoletto FD, Benacerraf BR. Absence of need for amniocentesis in patients with elevated levels of maternal serum alpha-fetoprotein and normal ultrasonographic examinations. N Engl J Med. 1990;323:557.

    Article  PubMed  CAS  Google Scholar 

  37. Campbell J, Gilbert WM, Nicolaides KH, Campbell S. Ultrasound screening for spina bifida: Cranial and cerebellar signs in a high-risk population. Obstet Gynecol. 1987;70: 247.

    PubMed  CAS  Google Scholar 

  38. Van den Hof MC, Nicolaides KH, Campbell S. Evaluation of the lemon and banana signs in one hundred thirty fetuses with open spina bifida. Am J Obstet Gynecol. 1990;162:322.

    PubMed  Google Scholar 

  39. Luthy DA, Wardinsky T, Shurtleff DB, et al. Cesarean section before the onset of labor and subsequent motor function in infants with meningomyelocele diagnosed antenatally. N Engl J Med. 1991;324:662.

    Article  PubMed  CAS  Google Scholar 

  40. Hobbins JC. Diagnosis and management of neural tube defects today. N Engl J Med. 1991;324:690.

    Article  PubMed  CAS  Google Scholar 

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© 1993 Springer-Verlag New York Inc.

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Sabbagha, R.E., Toig, R.M., Tamura, R.K. (1993). Ultrasound Examination of the Fetus: Externally Visible Body Defects. In: Lin, CC., Verp, M.S., Sabbagha, R.E. (eds) The High-Risk Fetus. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9240-8_14

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  • DOI: https://doi.org/10.1007/978-1-4613-9240-8_14

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-9242-2

  • Online ISBN: 978-1-4613-9240-8

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