ANENCEPHALIC FETUS WITH CRANIOSPINAL RACHISCHISIS – CASE REPORT

Ayse Konac
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Abstract

Anencephaly, in which a substantial part of the brain, skull, or scalp is missing, is a lethal neural tube defect (NTD) that occurs during the fourth week of pregnancy after failed cranial neuropore closure. One in every 1,000 births is anencephalic, and newborns with this NTD are not viable or treatable. Associated with anencephaly is rachischisis, or severe incomplete neural tube closure and exposure of the spinal cord. Ultrasonography can quickly diagnose anencephaly. Like other NTDs, nutritional and environmental factors both play a role in the development of anencephaly. Here, we report and discuss an unusual case of a 12-week gestation anencephalic fetus with craniospinal rachischisis and its embryological roots. In our case, except from the low socio-economic life of the patient, the absence of a predisposing factor that could cause such an anomaly, the abortion being in the first trimester and the occurrence in the first pregnancy of the patient as a result of 5-year infertility made us think that pathology examination of the abortus material is important in complet or incomplete abortions.
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无脑胎儿伴颅脊柱裂1例
无脑畸形是一种致命的神经管缺陷(NTD),发生在妊娠第四周,发生在颅神经孔关闭失败后。每1000个新生儿中就有1个是无脑的,患有这种NTD的新生儿无法生存,也无法治疗。与无脑畸形相关的是脊柱裂,或严重的神经管不完全闭合和脊髓暴露。超声检查能快速诊断出无脑畸形。与其他被忽视的疾病一样,营养和环境因素都在无脑畸形的发展中发挥作用。在这里,我们报告和讨论一个不寻常的情况下,妊娠12周无脑胎儿与颅脊柱裂及其胚胎学根源。在我们的病例中,除了患者的社会经济生活较低外,没有导致这种异常的易感因素,流产发生在妊娠早期,并且由于5年不孕导致患者首次怀孕,我们认为流产材料的病理检查在完全流产或不完全流产中很重要。
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