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Published on: January 20, 2013
Associated malformations in cases with neural tube defects
1Génétique Médicale, Faculté de Médecine, Strasbourg, France. claude.stoll@medecine.u-strasbg.fr
Summary
About one in five infants with neural tube defects (NTDs) have associated congenital defects. This highlights the need for thorough investigation and screening for conditions like facial clefts and cardiac anomalies in newborns with NTDs.
Area of Science:
- Medical Genetics
- Pediatric Neurology
- Public Health
Background:
- Infants with neural tube defects (NTDs) can present with additional congenital anomalies.
- Existing studies report varying incidences and types of these associated malformations.
Purpose of the Study:
- To determine the prevalence and types of congenital malformations associated with NTDs in a specific population.
- To provide data on the frequency of co-occurring defects in infants diagnosed with NTDs.
Main Methods:
- Analysis of data from a registry of congenital anomalies in Northeastern France.
- Inclusion of all infants born between 1979 and 2003 with NTDs (n=360) from 334,262 consecutive births.
Main Results:
- 20.5% of infants with NTDs had associated malformations.
- Associated anomalies were most common in infants with encephalocele (37.5%), followed by spina bifida (23.7%) and anencephaly (11.8%).
- Commonly associated defects included oral clefts, and malformations of the musculoskeletal, renal, and cardiovascular systems.
Conclusions:
- The significant prevalence of associated malformations underscores the necessity for comprehensive evaluations in infants with NTDs.
- Routine screening for specific anomalies (facial clefts, musculoskeletal, renal, cardiac) and genetic counseling are recommended for affected infants.
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