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Congenital placental-cerebral adhesion: an unusual case of amniotic band sequence. Case report
Jennifer L O Merrimen1, P Daniel McNeely, Richard L Bendor-Samuel
1Department of Pathology, Division of Neurosurgery, ImK Health Centre and Dalhousie University, Halifax, Nova Scotia, Canada.
Abstract:
Amniotic band sequence is a disruption sequence having a broad spectrum of clinical manifestations ranging from partial amputations to major craniofacial and limb-body wall defects. Most reported cases of placental-cerebral adhesion pertain to patients with severe craniofacial defects who were either stillborn or who died a few hours after birth. The authors present a case of a male infant born with a placental-cerebral adhesion through a cranial defect. This adhesion was separated at birth, and duraplasty and primary scalp closure were performed. A detailed examination of the placenta revealed the presence of multiple amniotic bands. The case demonstrates that survival and normal early post-natal development are possible if the condition is treated promptly.
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