Bangalore, India

This primigravida with unremarkable history. The fetus is at 22 weeks and has a extensive thoracic spina bifida centered on thoracic vertebra T8.

These are the axial sections with ultrasound.

Longitudinal sections.

The skull with moderate hydrocephalus, a "banana sign" and a "lemon sign"

The X-rays demonstrate an upper thoracic spine defect without posterior ossification centers. The posterior lamina are splayed by a 52 x 35 mm meningomyelocele. Minimal scoliosis is seen at the point of the defect. Hemi-vertebra at T8

The newborn.