Prenatal diagnosis of diastematomyelia in a 15-week-old fetus


Biri A., Turp A., Kurdoglu M., Himmetoglu O., Ercan N., Balci S.

FETAL DIAGNOSIS AND THERAPY, vol.20, no.4, pp.258-261, 2005 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 4
  • Publication Date: 2005
  • Doi Number: 10.1159/000085081
  • Title of Journal : FETAL DIAGNOSIS AND THERAPY
  • Page Numbers: pp.258-261

Abstract

Objective: A case of prenatal diagnosis of diastematomyelia is presented. Methods: A case of fetal diastematomyelia, diagnosed by prenatal sonography, demonstrated the typical sonographic features of this condition. In this case it was detected at 15 weeks of gestation, and presented with a midline echogenic focus in the posterior region of the thoracolumbar spine. Results: The pregnancy was terminated by induction of labor. The fetus was female and there was a 1-cm long endurated hyperemic lesion at the back of the fetus. We confirmed the diagnosis of diastematomyelia after termination of pregnancy by plain chest and abdominal X-ray and also MRI scanning. Conclusion: Isolated diastematomyelia is a rare form of spinal dysraphism characterized by a sagittal cleft in the spinal cord, conus medullaris and/or filum terminale with splaying of the posterior vertebral elements. Prenatal diagnosis of this anomaly is possible in the early mid-trimester by sonography, thus allowing for early surgical intervention and a favorable prognosis. Copyright (c) 2005 S. Karger AG, Basel