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Neurulation is the embryological process which forms the precursors of the central nervous system and occurs after gastrulation has established the three primary cell layers of the embryo: ectoderm, mesoderm, and endoderm. In humans, the majority of this system is formed via primary neurulation, in which the central portion of the ectoderm—originally appearing as a flat sheet of cells—folds upwards and inwards, sealing off to form a hollow neural tube. As development proceeds, the anterior...
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[Sirenomelia apus. Case report].

Dora Virginia Chávez-Corral1, Cesar R Aguilar Torres, Margarita Levario-Carrillo

  • 1Facultad de Medicina, Universidad Autónoma de Chihuahua. dcorral@prodigy.net.mx

Ginecologia Y Obstetricia De Mexico
|October 5, 2011
PubMed
Summary
This summary is machine-generated.

This case report details a fetus with Sirenomelia, a severe congenital disorder characterized by fused lower extremities and significant cardiac abnormalities. Early diagnosis is crucial due to the condition

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Area of Science:

  • Medical Genetics
  • Fetal Medicine
  • Teratology

Background:

  • Sirenomelia, a rare congenital malformation, presents a significant diagnostic challenge in prenatal care.
  • This condition is associated with severe limb fusion and frequently co-occurs with other major organ system abnormalities.
  • Early and accurate diagnosis is critical for prognosis and management planning.

Observation:

  • A 21-week gestation fetus was diagnosed with Sirenomelia via transabdominal ultrasound.
  • Key findings included anhydramnios, cardiac abnormalities (transposition of great vessels), and lumbosacral spine anomalies.
  • The fetus exhibited fused lower extremities from the hip to a stump, lacking distinct feet.

Findings:

  • The observed case was classified under Sirenomelia, Type VI (symelia, Apodi apus, monopodio sirenoide, siren ectropodia).
  • The combination of limb fusion and complex cardiac defects highlights the severity of this disorder.
  • Ultrasound revealed characteristic features of fused lower limbs and associated visceral anomalies.

Implications:

  • This case underscores the importance of detailed fetal anomaly screening, particularly in the second trimester.
  • Accurate prenatal diagnosis of Sirenomelia allows for appropriate genetic counseling and family planning.
  • Understanding the spectrum of Sirenomelia aids in improving diagnostic accuracy and managing expectations for affected families.