PRENATAL ULTRASOUND ASPECTS OF ARTHROGRYPOSIS MULTIPLEX CONGENITA

Tunis Med. 2008 Apr;86(4):328-34.

Article in French]

Chelli D, Dimassi K, Bouaziz M, Masmoudi A, Ben Jemaa N, Zouaoui B, Sfar E, Chelli H, Channoufi MB, Gaigi S.

Service A, Centre de Maternité et de Néonatalogie, Tunis.

AIM: To analyze the contribution of prenatal ultrasound in the diagnosis of arthrogryposis multiplex congenital according to its type and antenatal expression. METHODS: Retrospective study led between January 1993 and November 2007. We studied the cases of arthrogryposis suspected or diagnosed by antenatal ultrasound while analyzing the circumstances of discovery, the profile of the pregnant women and the abnormal scan findings. RESULTS: 16 observations have been collected. We recovered one multiple pterigium syndrome and five observations of severe fetal akinesia sequences diagnosed in the second trimester. The arthrogryposis was part of different syndromes in other cases. Four distal arthrogryposis had been diagnosed in the second trimester. All cases suspected during the third trimester were associated to an anomaly of the amniotic fluid, mainly to a polyhydramnios. The abnormal scan findings were less specific to this term. CONCLUSION: Arthrogryposis multiplex congenital is rare. It has several morphological aspects. Some ultrasound aspects are specific in the first and second trimesters. The diagnosis is more difficult at the third trimester.

PMID: 19476133 [PubMed - indexed for MEDLINE]


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PreferencesTurn offLethal congenital arthrogryposis presents with increased nuchal translucency at 10-14 weeks of gestation.

Ultrasound Obstet Gynecol. 1997 May; 9(5):310-3. Early prenatal sonographic diagnosis of neuropathic arthrogryposis multiplex congenita with osseous heterotopia.

Prenat Diagn. 1993 May; 13(5):411-6. ReviewPrenatal diagnosis of Bruck syndrome.

Prenat Diagn. 2005 Jul; 25(7):535-8. ReviewObstetrical complications associated with abnormal maternal serum markers analytes.

J Obstet Gynaecol Can. 2008 Oct; 30(10):918-49.