Spina bifida, lumbar

Marzio Casoli, MD, Marco Filippeschi, MD

Dept.of Obstetrics and Gynecology  Ospedale San Giuseppe,AUSL 11 Valdelsa-Valdarno,50053
Empoli (Firenze),Italy

This is a 25-year-old mother, G2P0A1. Plasma maternal alpha-fetoprotein at 17 weeks was 165 u/mL. Ultrasonographic examination performed at 17 weeks showed a large open rachischisis. Termination ocurred at 17 weeks 2 days. The external observation and autopsy of the fetus confirmed the ultrasonographic diagnosis. No others external anomalies were visible.

Axial sections of the lumbar spine:

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Axial section of the normal spine

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Parasagittal median section of the spine:

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Coronal sections of the spine:

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 Ventriculomegaly:

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”Lemon” sign:

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The fetus after delivery:

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