Anencephaly, acrania

Fabrice Cuillier, MD.

Department of Gynecology, Félix Guyon Hospital, 97400 Saint-Denis, Ile de la Réunion, France. Tel: 0262 90 55 22. Fax: 0262 90 77 30;

Case report
 
We present a case of a 28-year-old woman, with unremarkable history, scanned for the first time at 19th week of gestational age. The sonography revealed acrania (image 1). We could see just a residual brain (images 4, 5). We also suspected a craniorachischisis (image 6), but due to not very convenient sonographic conditions (weight of the patient was 120 kg), the pictures of the spine were of very poor quality. The patient decided for termination of the pregnancy. An amniocentesis was realized just before and karyotype was normal. Here are some images we obtained.

Images 1, 2. Acrania.

1
2A

Images 3, 4. (3) Acrania (hypertelorism and exorbitism); (4) Residual brain. 

2B
3B

Images 5, 6. (5) Sagittal plane with residual brain; (6) Craniorachischisis.

4A
4B

Images 7, 8. Postnatal appearance.

5A
5B

 

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