* Departamento de Investigacion Prenatal y Obstetrica, Hospital General Donato G Alarcon de Ciudad Renacimiento, S.S.A. Acapulco Guerrero, Mexico, Facultad de Medicina de la  U.A.G., Mexico.
** Departamento de Pediatria - Perinatologia, Hospital General Donato G Alarcon de Ciudad Renacimiento, S.S.A. Acapulco Guerrero, Mexico, Facultad de Medicina de la  U.A.G., Mexico.
Case report
This is a case of a-27-year-old G1 P0 who was referred to our department at 26 weeks of gestation. The ultrasound findings were following:
- Enlarged cranium, bulging forehead, depressed nasal bridge
- Narrow thorax, protuberant abdomen
- Micromelic shortening of all extremities, extreme rhizomelia - humerus and femur
- Hydrocephalus,
- Platyspondyly
- Short fingers
Our diagnosis based on the ultrasound findings was lethal skeletal dysplasia, probably Thanatophoric dysplasia, type I. The absence of craniosynostosis ruled out Thanatophoric dysplasia, type II. Patient delivered at 35 weeks of gestation. The clinical examination of the neonate showed facial features and extreme micromelia typical for Thanatophoric dysplasia, type I. Neonate had severe respiratory difficulties due to pulmonary hypoplasia and died 6 hours after delivery. Pathologist confirmed our diagnosis.
Images 1,2: Image 1 shows an axial view of the fetal brain with severe hydrocephalus. Image 2 shows a sagittal view of the head, note bulging forehead, depressed nasal bridge.