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Cabet S, Putoux A, Lesca G, Lesage A, Massoud M, Guibaud L. Prenatal diagnosis of microcephaly with simplified gyral pattern: series of eight cases. Ultrasound Obstet Gynecol 2024; 63:271-275. [PMID: 37551048 DOI: 10.1002/uog.27450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 07/05/2023] [Accepted: 07/25/2023] [Indexed: 08/09/2023]
Abstract
Microcephaly with simplified gyral pattern (MSG) is an intrinsic genetic central nervous system disorder, characterized by microcephaly (a reduction of brain volume) and a simplified gyral pattern (a reduced number of gyri and shallow sulci associated with normal cortical thickness and neuroanatomical architecture), related to a reduced number of neuronal progenitors in the germinal matrix. We report the first prenatal series of MSG and define the prenatal imaging pattern, which should inform diagnosis and guide prenatal counseling in cases of fetal microcephaly. In this single-center retrospective study of fetuses with MSG, we assessed features on ultrasound and magnetic resonance imaging (MRI), as well as genetic and neuropathological/postnatal data. We included eight patients who had been referred following observation of microcephaly. Ultrasound examination confirmed microcephaly, with a mean growth delay in head circumference of 3.4 weeks, associated with both a lack of gyration and a lack of opercularization of the Sylvian fissure and without any extracephalic anomaly. Fetal brain MRI confirmed lack of gyration with normal cortical thickness and normal intensity of the white matter in all cases. These MRI features led to exclusion of migration/corticogenesis disorders (lissencephaly/polymicrogyria), instead suggesting MSG. The posterior fossa was normal in seven of the eight cases. The corpus callosum was thin in four cases, hypoplastic in two and dysgenetic in two. In four cases, the pregnancy was terminated. The diagnosis of MSG was confirmed from neuropathological and postnatal MRI data. MSG was associated with a genetic diagnosis of RTTN (n = 1) and ASPM (n = 2) biallelic variants in three of the six cases in which genetic work-up was performed. Mild or moderate intellectual deficit with speech delay was present in the three surviving children who were at least 5 years of age at their last examination, without seizures. In conclusion, in the presence of isolated fetal microcephaly with lack of gyration on ultrasound, fetal cerebral MRI is key to diagnosing MSG, which, in the majority of cases, affects the supratentorial space exclusively, and to ruling out other cortical malformations that show a similar sonographic pattern. In addition to imaging, genetic assessment may guide prenatal counseling, since the prenatal prognosis of MSG is different from that of both diffuse polymicrogyria and lissencephaly. © 2023 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- S Cabet
- Pediatric and Fetal Imaging Department, Femme-Mère-Enfant Hospital, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
- Institut NeuroMyoGène, CNRS UMR5292, INSERM U1028, Claude Bernard Lyon 1 University, Lyon, France
- Multidisciplinary Center for Prenatal Diagnosis, Femme-Mère-Enfant Hospital, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
| | - A Putoux
- Multidisciplinary Center for Prenatal Diagnosis, Femme-Mère-Enfant Hospital, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
- Department of Genetics, Groupement Hospitalier Est, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
| | - G Lesca
- Institut NeuroMyoGène, CNRS UMR5292, INSERM U1028, Claude Bernard Lyon 1 University, Lyon, France
- Department of Genetics, Groupement Hospitalier Est, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
| | - A Lesage
- Department of Medical Imaging, CHU Sainte-Justine, Montréal, QC, Canada
| | - M Massoud
- Department of Gynecology and Obstetrics, Multidisciplinary Center for Prenatal Diagnosis, CHLS, Hospices Civils de Lyon, Lyon, France
| | - L Guibaud
- Pediatric and Fetal Imaging Department, Femme-Mère-Enfant Hospital, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
- Multidisciplinary Center for Prenatal Diagnosis, Femme-Mère-Enfant Hospital, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France
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Guibaud L, Massoud M. Does fetal cerebral magnetic resonance imaging have additional value in cytomegalovirus fetopathy with normal neurosonography? Ultrasound Obstet Gynecol 2023; 62:305-306. [PMID: 37523512 DOI: 10.1002/uog.26298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Accepted: 05/23/2023] [Indexed: 08/02/2023]
Abstract
Linked article: This Correspondence comments on Di Mascio et al. Click here to view the article.
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Affiliation(s)
- L Guibaud
- Département d'Imagerie Pédiatrique et Faetal, Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - M Massoud
- Centre Pluridisciplinaire de Diagnostic Prénatal, Centre Hospitalier Lyon-Sud, Université Claude Bernard Lyon 1, Pierre-Benite, France
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Atallah A, Cabet S, Cassart M, James I, Gaucherand P, Guibaud L. Prenatal diagnosis of congenital perineal lipoma: tip of urorectal septum malformation sequence? Ultrasound Obstet Gynecol 2022; 60:139-141. [PMID: 34919755 DOI: 10.1002/uog.24836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 11/22/2021] [Accepted: 12/02/2021] [Indexed: 06/14/2023]
Affiliation(s)
- A Atallah
- University Hospital Centre Sainte Justine, Department of Maternal-Fetal Medicine, University of Montreal, Montreal, Canada
- Hospices Civils de Lyon, Hôpital Femme Mère Enfant, Department of Prenatal Diagnosis, University Claude Bernard Lyon 1, Lyon, France
| | - S Cabet
- Hospices Civils de Lyon, Hôpital Femme Mère Enfant, Department of Radiology, University Claude Bernard Lyon 1, Lyon, France
| | - M Cassart
- Erasme Hospital, Department of Radiology, Brussels, Belgium
| | - I James
- Clinique du Val d'Ouest, Pediatric Plastic Surgery Department, Ecully, France
| | - P Gaucherand
- Hospices Civils de Lyon, Hôpital Femme Mère Enfant, Department of Prenatal Diagnosis, University Claude Bernard Lyon 1, Lyon, France
| | - L Guibaud
- Hospices Civils de Lyon, Hôpital Femme Mère Enfant, Department of Prenatal Diagnosis, University Claude Bernard Lyon 1, Lyon, France
- Hospices Civils de Lyon, Hôpital Femme Mère Enfant, Department of Radiology, University Claude Bernard Lyon 1, Lyon, France
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Raia-Barjat T, Scalabre A, Giraud A, Varlet F, Guibaud L, Massoud M. Prenatal diagnosis and therapeutic management of giant intrathoracic foregut duplication cyst. Ultrasound Obstet Gynecol 2022; 59:689-692. [PMID: 34529296 DOI: 10.1002/uog.24773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 08/27/2021] [Accepted: 09/02/2021] [Indexed: 06/13/2023]
Affiliation(s)
- T Raia-Barjat
- Department of Gynecology and Obstetrics, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France
- INSERM U1059 SAINBIOSE, Université Jean Monnet, Saint-Étienne, France
| | - A Scalabre
- Department of Pediatric Surgery, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France
| | - A Giraud
- INSERM U1059 SAINBIOSE, Université Jean Monnet, Saint-Étienne, France
- Neonatal Intensive Care Unit, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France
| | - F Varlet
- Department of Pediatric Surgery, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France
| | - L Guibaud
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - M Massoud
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
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Bourgon N, Carmignac V, Sorlin A, Duffourd Y, Philippe C, Thauvin-Robinet C, Guibaud L, Faivre L, Vabres P, Kuentz P. Clinical and molecular data in cases of prenatal localized overgrowth disorder: major implication of genetic variants in PI3K-AKT-mTOR signaling pathway. Ultrasound Obstet Gynecol 2022; 59:532-542. [PMID: 34170046 DOI: 10.1002/uog.23715] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 06/13/2021] [Accepted: 06/14/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVES To describe clinical and molecular findings in a French multicenter cohort of fetuses with prenatal diagnosis of congenital abnormality and suspicion of a localized overgrowth disorder (LOD) suggestive of genetic variants in the PI3K-AKT-mTOR signaling pathway. METHODS We analyzed retrospectively data obtained between 1 January 2013 and 1 May 2020 from fetuses with brain and/or limb overgrowth referred for molecular diagnosis of PI3K-AKT-mTOR pathway genes by next-generation sequencing (NGS) using pathological tissue obtained by fetal autopsy. We also assessed the diagnostic yield of amniotic fluid. RESULTS During the study period, 21 subjects with LOD suspected of being secondary to a genetic variant of the PI3K-AKT-mTOR pathway were referred for analysis. Of these, 17 fetuses had brain overgrowth, including six with isolated megalencephaly (MEG) and 11 with hemimegalencephaly (HMEG). Of the six with MEG, germline variants were identified in four cases, in either PIK3R2, AKT3 or MTOR, and a postzygotic PIK3R2 variant was found in the other two cases. Of the 11 with HMEG, a postzygotic PIK3CA variant was found in three fetuses with extracerebral features of PIK3CA-related overgrowth spectrum, and in seven fetuses with isolated HMEG. No pathogenic variant was identified in the 11th case with HMEG. Four fetuses with limb overgrowth also had one or more lymphatic malformations (LM) and harbored a postzygotic PIK3CA variant. NGS on cultured amniocytes performed in 10 cases, of which nine had been found positive on analysis of pathological fetal tissue, showed variants in four, in either PIK3CA, PIK3R2 or AKT3. CONCLUSIONS Isolated MEG or HMEG may lead to identification of genetic variants in the PI3K-AKT-mTOR signaling pathway. Cases of limb overgrowth and LM or isolated HMEG are likely associated with PIK3CA variants. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- N Bourgon
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Service d'Obstétrique-Maternité, Chirurgie Médecine et Imagerie Fœtale, Hôpital Necker Enfants Malades, AP-HP, Paris, France
| | - V Carmignac
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Centre de Référence des Maladies Rares de la Peau et des Muqueuses d'Origine Génétique (MAGEC), Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
| | - A Sorlin
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Centre de Référence des Maladies Rares de la Peau et des Muqueuses d'Origine Génétique (MAGEC), Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Centre de Génétique et Centre de Référence 'Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est', Hôpital d'Enfants, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- UF Innovation en Diagnostic Génomique des Maladies Rares, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
| | - Y Duffourd
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
| | - C Philippe
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- UF Innovation en Diagnostic Génomique des Maladies Rares, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
| | - C Thauvin-Robinet
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Centre de Génétique et Centre de Référence 'Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est', Hôpital d'Enfants, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
| | - L Guibaud
- Service d'Imagerie Médicale, Hôpital Femme-Mère-Enfants, Hospices Civils de Lyon, Bron, France
| | - L Faivre
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Centre de Génétique et Centre de Référence 'Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est', Hôpital d'Enfants, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
| | - P Vabres
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Centre de Référence des Maladies Rares de la Peau et des Muqueuses d'Origine Génétique (MAGEC), Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Service de Dermatologie, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
| | - P Kuentz
- INSERM UMR 1231, Equipe 'Génétique des Anomalies du Développement', Université de Bourgogne Franche-Comté, Dijon, France
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement, Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Centre de Référence des Maladies Rares de la Peau et des Muqueuses d'Origine Génétique (MAGEC), Centre Hospitalier Universitaire de Dijon Bourgogne, Dijon, France
- Oncobiologie Génétique Bioinformatique, PCBio, Centre Hospitalier Universitaire de Besançon, Besançon, France
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Cabet S, Karl K, Garel C, Delius M, Hartung J, Lesca G, Chaoui R, Guibaud L. Two different prenatal imaging cerebral patterns of tubulinopathy. Ultrasound Obstet Gynecol 2021; 57:493-497. [PMID: 32149430 DOI: 10.1002/uog.22010] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 02/05/2020] [Accepted: 02/19/2020] [Indexed: 06/10/2023]
Abstract
To illustrate the prenatal cerebral imaging features associated with tubulinopathy, we report on five affected fetuses from unrelated families, with a de-novo heterozygous variant in a tubulin gene (TUBA1A, TUBB2B or TUBB3). We identified two distinct prenatal imaging patterns related to tubulinopathy: a severe form, characterized by enlarged germinal matrices, microlissencephaly and a kinked brainstem; and a mild form which has not been reported previously in the prenatal literature. The latter form is associated with non-specific features, including an asymmetric brainstem, corpus callosal dysgenesis, a lack of Sylvian fissure operculization and distortion of the anterior part of the interhemispheric fissure with subsequent impacted medial borders of the frontal lobes, the combination of which, in the absence of additional extracerebral anomalies, is highly suggestive of tubulinopathy. Copyright © 2020 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- S Cabet
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
- Service de Génétique, Groupement Hospitalier Est, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - K Karl
- Center for Prenatal Diagnosis Munich, Munich, Germany
- Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany
| | - C Garel
- Department of Pediatric Imaging, Hôpital d'Enfants Armand-Trousseau APHP, Paris, France
| | - M Delius
- Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany
| | - J Hartung
- Office of Prenatal Diagnosis, Berlin, Germany
| | - G Lesca
- Service de Génétique, Groupement Hospitalier Est, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - R Chaoui
- Center for Prenatal Diagnosis and Human Genetics, Berlin, Germany
| | - L Guibaud
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
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Quarello E, Guibaud L. Prenatal sonographic assessment of Sylvian fissure operculization (SFO): importance of distinguishing between screening and diagnostic tools and selecting precise anatomical landmarks. Ultrasound Obstet Gynecol 2020; 56:786-788. [PMID: 33136324 DOI: 10.1002/uog.23113] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 02/27/2020] [Indexed: 06/11/2023]
Affiliation(s)
- E Quarello
- Image2 (Institut Méditerranéen d'Imagerie Médicale Appliquée à la Gynécologie, la Grossesse, et à l'Enfant), Marseille, France
- Unité d'Échographie et de Diagnostic Prénatal, Hôpital Saint Joseph, Marseille, France
| | - L Guibaud
- Département d'Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
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Fraissenon A, Cabet S, Fichez A, Abel C, Canaud G, Guibaud L. Prenatal imaging diagnosis of PIK3CA-related overgrowth spectrum disorders in first trimester with emphasis on extremities. Ultrasound Obstet Gynecol 2020; 56:780-781. [PMID: 31816130 DOI: 10.1002/uog.21942] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 11/24/2019] [Accepted: 12/04/2019] [Indexed: 06/10/2023]
Affiliation(s)
- A Fraissenon
- Imagerie Pédiatrique et Fœtale, Centre de Compétence des Malformations Vasculaire Superficiel, FAVA Multi Network Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
- Service de Radiologie Mère-Enfant, Hôpital Nord, Centre Hospitalier Universitaire de Saint Etienne, Université Jean Monnet, Saint-Etienne, France
| | - S Cabet
- Imagerie Pédiatrique et Fœtale, Centre de Compétence des Malformations Vasculaire Superficiel, FAVA Multi Network Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - A Fichez
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital de la Croix Rousse, Lyon, France
| | - C Abel
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital de la Croix Rousse, Lyon, France
- Service de Génétique, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France
| | - G Canaud
- Université́ de Paris, Paris, France
- Service de Néphrologie Transplantation Adultes, Hôpital Necker-Enfants Malades, AP-HP, Paris, France
- INSERM U1151, Institut Necker Enfants Malades, Paris, France
| | - L Guibaud
- Imagerie Pédiatrique et Fœtale, Centre de Compétence des Malformations Vasculaire Superficiel, FAVA Multi Network Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
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Fraissenon A, Benchimol G, Cabet S, Brasseur-Daudruy M, Sonigo P, Salomon LJ, Guibaud L. Prenatal imaging patterns of different forms of infantile myofibromatosis. Ultrasound Obstet Gynecol 2020; 56:782-784. [PMID: 31909539 DOI: 10.1002/uog.21964] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Revised: 12/13/2019] [Accepted: 12/20/2019] [Indexed: 06/10/2023]
Affiliation(s)
- A Fraissenon
- Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal Consultation Multidisciplinaire des Angiomes, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
- Service de Radiologie Mère-Enfant, Hôpital Nord, Centre Hospitalier Universitaire de Saint Etienne, Université Jean Monnet, Saint-Etienne, France
| | - G Benchimol
- Département d'Obstétrique et de Médecine Foetale, Hôpital Necker-Enfants Malades, APHP, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - S Cabet
- Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal Consultation Multidisciplinaire des Angiomes, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - M Brasseur-Daudruy
- Service d'Imagerie Pédiatrique et Fœtale, Hôpital Universitaire de Rouen, Rouen, France
| | - P Sonigo
- Service de Radiopédiatrie, Hôpital Necker-Enfants Malades, APHP, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - L J Salomon
- Département d'Obstétrique et de Médecine Foetale, Hôpital Necker-Enfants Malades, APHP, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - L Guibaud
- Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal Consultation Multidisciplinaire des Angiomes, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
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Cabet S, Meyronet D, Fichez A, di Rocco F, Gauthier-Moulinier H, Guibaud L. Embryonal tumor of posterior cerebral fossa: false-negative diagnosis by fetal MRI related to misinterpretation of decreased apparent diffusion coefficient. Ultrasound Obstet Gynecol 2019; 53:551-553. [PMID: 29786163 DOI: 10.1002/uog.19095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 05/01/2018] [Accepted: 05/05/2018] [Indexed: 06/08/2023]
Affiliation(s)
- S Cabet
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, 59, Boulevard Pinel, 69677, Lyon-Bron, France
| | - D Meyronet
- Department of Cancer Cell Plasticity, Cancer Research Centre of Lyon, INSERM, CNRS, Lyon, France
- Hospices Civils de Lyon, Groupe Hospitalier Est, Centre de Pathologie Est, Lyon-Bron, France
| | - A Fichez
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital de la Croix Rousse, Lyon, France
| | - F di Rocco
- Neurochirurgie Pédiatrique, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - H Gauthier-Moulinier
- Service de Néonatologie, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - L Guibaud
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, 59, Boulevard Pinel, 69677, Lyon-Bron, France
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon-Bron, France
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Tran Mau-Them F, Guibaud L, Duplomb L, Keren B, Lindstrom K, Marey I, Mochel F, van den Boogaard MJ, Oegema R, Nava C, Masurel A, Jouan T, Jansen FE, Au M, Chen AH, Cho M, Duffourd Y, Lozier E, Konovalov F, Sharkov A, Korostelev S, Urteaga B, Dickson P, Vera M, Martínez-Agosto JA, Begemann A, Zweier M, Schmitt-Mechelke T, Rauch A, Philippe C, van Gassen K, Nelson S, Graham JM, Friedman J, Faivre L, Lin HJ, Thauvin-Robinet C, Vitobello A. De novo truncating variants in the intronless IRF2BPL are responsible for developmental epileptic encephalopathy. Genet Med 2018; 21:1008-1014. [DOI: 10.1038/s41436-018-0143-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 07/13/2018] [Indexed: 02/06/2023] Open
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12
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de Saint-Denis T, Garel C, Di Rocco F, Guibaud L, Ligouzzo A, Lallemant P, Forin V, Friszer S, Jouannic J, Zérah M. MyeLDM, le trait d’union des dyraphismes. Neurochirurgie 2018. [DOI: 10.1016/j.neuchi.2018.05.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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13
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Bruel AL, Thevenon J, Huet F, Jean-Marcais N, Odent S, Dubourg C, Lehalle D, Tran Mau-Them F, Philippe C, Moutton S, Houcinat N, Gay S, Guibaud L, Duffourd Y, Rivière JB, Faivre L, Thauvin-Robinet C. Unexpected diagnosis of a SHH nonsense variant causing a variable phenotype ranging from familial coloboma and Intellectual disability to isolated microcephaly. Clin Genet 2018; 94:182-184. [PMID: 29498412 DOI: 10.1111/cge.13211] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Revised: 01/09/2018] [Accepted: 01/11/2018] [Indexed: 12/15/2022]
Affiliation(s)
- A-L Bruel
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France
| | - J Thevenon
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, CHU, Dijon, France
| | - F Huet
- Service Pédiatrie, CHU, Dijon, France
| | - N Jean-Marcais
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, CHU, Dijon, France
| | - S Odent
- Service Génétique Clinique, CHU, Rennes, France.,CNRS UMR6290, IGDR, Université de Rennes 1, Rennes, France
| | - C Dubourg
- CNRS UMR6290, IGDR, Université de Rennes 1, Rennes, France.,Service Génétique Moléculaire et Génomique, CHU, Rennes, France
| | - D Lehalle
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, CHU, Dijon, France
| | - F Tran Mau-Them
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France
| | - C Philippe
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France
| | - S Moutton
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, CHU, Dijon, France
| | - N Houcinat
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, CHU, Dijon, France
| | - S Gay
- Service Pédiatrie, CH, Chalon-sur Saône, France
| | - L Guibaud
- Service Radiologie, Hospices Civils de Lyon, Lyon, France
| | - Y Duffourd
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France
| | - J-B Rivière
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France
| | - L Faivre
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, CHU, Dijon, France
| | - C Thauvin-Robinet
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), CHU, Dijon, France.,UMR 1231 GAD, Génétique des Anomalies du Développement, UBFC, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Inter-région Est, CHU, Dijon, France
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14
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Lacalm A, Fichez A, Broussin B, Abel C, Lacombe D, Guibaud L. Prenatal diagnosis of cerebral and extracerebral high-flow lesions revealing familial capillary malformation-arteriovenous malformation (CM-AVM) syndrome. Ultrasound Obstet Gynecol 2018; 51:409-411. [PMID: 28295764 DOI: 10.1002/uog.17460] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2017] [Revised: 02/20/2017] [Accepted: 03/03/2017] [Indexed: 06/06/2023]
Affiliation(s)
- A Lacalm
- Imagerie pédiatrique et fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal, Consultation Multidisciplinaire des Angiomes, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - A Fichez
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital de la Croix Rousse, Lyon, France
| | - B Broussin
- Centre d'imagerie, rue Georges Bonnac, Bordeaux, France
| | - C Abel
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital de la Croix Rousse, Lyon, France
| | - D Lacombe
- Génétique médicale, Centre Hospitalier Universitaire de Bordeaux, INSERM U1211, Université de Bordeaux, Bordeaux, France
| | - L Guibaud
- Imagerie pédiatrique et fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal, Consultation Multidisciplinaire des Angiomes, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
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15
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Atallah A, Lacalm A, Massoud M, Massardier J, Gaucherand P, Guibaud L. Prenatal diagnosis of pericallosal curvilinear lipoma: specific imaging pattern and diagnostic pitfalls. Ultrasound Obstet Gynecol 2018; 51:269-273. [PMID: 28067000 DOI: 10.1002/uog.17400] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2016] [Revised: 12/16/2016] [Accepted: 12/23/2016] [Indexed: 06/06/2023]
Abstract
We report the first series of cases of pericallosal curvilinear lipoma (CL) diagnosed prenatally and highlight the limitations in identifying a specific prenatal imaging pattern using ultrasound and magnetic resonance imaging (MRI). In all five of our cases, on ultrasound, the main feature leading to referral was a short corpus callosum. This subtle callosal dysgenesis was associated with a band of hyperechogenicity surrounding the corpus callosum, mimicking the pericallosal sulcus, which increased in size during the third trimester in three of the four cases in which sonographic follow-up was performed. On T2-weighted MRI, this band showed typical hypointensity in all cases; in contrast, on T1-weighted imaging, in only one case was there hyperintensity, suggestive of fat, as seen typically in the postnatal period. For appropriate prenatal counseling regarding outcome, it is important to identify or rule out CL when mild corpus callosal dysgenesis is observed. One should be aware of subtle diagnostic findings, such as a thin band of echogenicity surrounding the corpus callosum that is seen as a band of hypointensity on T2-weighted fetal MRI, and which may increase in size during gestation. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- A Atallah
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon Bron, France
| | - A Lacalm
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon Bron, France
| | - M Massoud
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon Bron, France
| | - J Massardier
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon Bron, France
| | - P Gaucherand
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon Bron, France
| | - L Guibaud
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon Bron, France
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon Bron, France
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16
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Guibaud L, Lacalm A. Diagnostic imaging tools to elucidate decreased cephalic biometry and fetal microcephaly: a systematic analysis of the central nervous system. Ultrasound Obstet Gynecol 2016; 48:16-25. [PMID: 27015746 DOI: 10.1002/uog.15926] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2016] [Revised: 03/19/2016] [Accepted: 03/23/2016] [Indexed: 06/05/2023]
Affiliation(s)
- L Guibaud
- Université Claude Bernard Lyon I, Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon-Bron, France
| | - A Lacalm
- Université Claude Bernard Lyon I, Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon-Bron, France
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17
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Putoux A, Alqahtani A, Pinson L, Paulussen ADC, Michel J, Besson A, Mazoyer S, Borg I, Nampoothiri S, Vasiljevic A, Uwineza A, Boggio D, Champion F, de Die-Smulders CE, Gardeitchik T, van Putten WK, Perez MJ, Musizzano Y, Razavi F, Drunat S, Verloes A, Hennekam R, Guibaud L, Alix E, Sanlaville D, Lesca G, Edery P. Refining the phenotypical and mutational spectrum of Taybi-Linder syndrome. Clin Genet 2016; 90:550-555. [PMID: 27040866 DOI: 10.1111/cge.12781] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Revised: 03/19/2016] [Accepted: 03/21/2016] [Indexed: 02/04/2023]
Abstract
Taybi-Linder syndrome (TALS, OMIM 210710) is a rare autosomal recessive disorder belonging to the group of microcephalic osteodysplastic primordial dwarfisms (MOPD). This syndrome is characterized by short stature, skeletal anomalies, severe microcephaly with brain malformations and facial dysmorphism, and is caused by mutations in RNU4ATAC. RNU4ATAC is transcribed into a non-coding small nuclear RNA which is a critical component of the minor spliceosome. We report here four foetuses and four unrelated patients with RNU4ATAC mutations. We provide antenatal descriptions of this rare syndrome including unusual features found in two twin foetuses with compound heterozygosity for two rare mutations who presented with mild intrauterine growth retardation and atypical dysmorphic facial features. We also carried out a literature review of the patients described up to now with RNU4ATAC mutations, affected either with TALS or Roifman syndrome, a recently described allelic disorder.
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Affiliation(s)
- A Putoux
- Service de Génétique, Hospices Civils de Lyon, Lyon, France.,Centre de Recherche en Neurosciences de Lyon, INSERM U1028, UMR CNRS 5292, Université Claude Bernard Lyon 1, Lyon, France
| | - A Alqahtani
- Service de Génétique, Hospices Civils de Lyon, Lyon, France
| | - L Pinson
- Département de Génétique Médicale, Centre Hospitalier Universitaire, Montpellier, France
| | - A D C Paulussen
- Department of Clinical Genetics, Maastricht University Medical Centre, Maastricht, the Netherlands.,School for Oncology & Developmental Biology (GROW), Maastricht University Medical Centre, Maastricht, the Netherlands
| | - J Michel
- Service de Génétique, Hospices Civils de Lyon, Lyon, France
| | - A Besson
- Centre de Recherche en Neurosciences de Lyon, INSERM U1028, UMR CNRS 5292, Université Claude Bernard Lyon 1, Lyon, France
| | - S Mazoyer
- Centre de Recherche en Neurosciences de Lyon, INSERM U1028, UMR CNRS 5292, Université Claude Bernard Lyon 1, Lyon, France
| | - I Borg
- Department of Pathology, University of Malta, Medical Genetics Unit, Mater Dei Hospital, Malta
| | - S Nampoothiri
- Department of Paediatric Genetics, Amrita Institute of Medical Sciences and Research Centre, Cochin, India
| | - A Vasiljevic
- Centre de Pathologie et Neuropathologie Est, Hospices Civils de Lyon, Lyon, France
| | - A Uwineza
- Centre for Medical Genetics, College of Medicine and Health Sciences, University of Rwanda, Huye, Rwanda
| | - D Boggio
- Service de Génétique, Hospices Civils de Lyon, Lyon, France
| | - F Champion
- Service de Gynécologie-Obstétrique, Hospices Civils de Lyon, Lyon, France
| | - C E de Die-Smulders
- Department of Clinical Genetics, Maastricht University Medical Centre, Maastricht, the Netherlands.,School for Oncology & Developmental Biology (GROW), Maastricht University Medical Centre, Maastricht, the Netherlands
| | - T Gardeitchik
- Department of Human Genetics, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - W K van Putten
- Paediatric Intensive Care Unit, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - M J Perez
- Département de Génétique Médicale, Unité de fœtopathologie, Centre Hospitalier Universitaire, Montpellier, France
| | - Y Musizzano
- Département de Pathologie Tissulaire et Cellulaire des tumeurs, Pôle Biologie Pathologie, Centre Hospitalier Universitaire, Montpellier, France
| | - F Razavi
- Département de Génétique Histologie-Embryologie-Cytogénétique, Hôpital Necker-Enfant Malade, Paris, France
| | - S Drunat
- Department of Genetics, APHP-Robert DEBRE University Hospital, and Paris-Diderot University, Paris, France
| | - A Verloes
- Department of Genetics, APHP-Robert DEBRE University Hospital, and Paris-Diderot University, Paris, France
| | - R Hennekam
- Department of Paediatrics, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands
| | - L Guibaud
- Département d'Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon-Bron, France
| | - E Alix
- Service de Génétique, Hospices Civils de Lyon, Lyon, France
| | - D Sanlaville
- Service de Génétique, Hospices Civils de Lyon, Lyon, France.,Centre de Recherche en Neurosciences de Lyon, INSERM U1028, UMR CNRS 5292, Université Claude Bernard Lyon 1, Lyon, France
| | - G Lesca
- Service de Génétique, Hospices Civils de Lyon, Lyon, France.,Centre de Recherche en Neurosciences de Lyon, INSERM U1028, UMR CNRS 5292, Université Claude Bernard Lyon 1, Lyon, France
| | - P Edery
- Service de Génétique, Hospices Civils de Lyon, Lyon, France.,Centre de Recherche en Neurosciences de Lyon, INSERM U1028, UMR CNRS 5292, Université Claude Bernard Lyon 1, Lyon, France
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18
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Sciard C, Lacalme A, Combourieu D, Gaucherand P, Lajeunesse C, Massardier J, Guibaud L, Massoud M. [Fetal transcerebellar diameter measured in screening ultrasound: Feasibility and reproducibility]. J Gynecol Obstet Hum Reprod 2016; 45:516-520. [PMID: 26321618 DOI: 10.1016/j.jgyn.2015.07.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2015] [Revised: 06/25/2015] [Accepted: 07/13/2015] [Indexed: 06/04/2023]
Abstract
OBJECTIVE The aim of the study was to evaluate feasibility and reproducibility of fetal transcerebellar diameter measurement during second and third trimester ultrasound mass screening by junior and senior physicians. MATERIALS AND METHODS A monocentric prospective study was conducted at the tertiary care teaching hospital in Lyon, including patients undergoing their second or third trimester planned ultrasound exam. For each patient, a resident and a senior practitioner measured each fetal transcerebellar diameter, during a blinded experiment, according to the transcerebellar plane described by the International Society of Ultrasound in Obstetrics and Gynecology. Images have been scored on 4 criteria. The inter-observer variability for transcerebellar diameter and image quality was assessed using an intra-class correlation coefficient. Image quality has been analyzed according to pregnancy term and to fetal presentation. RESULTS Sixty-six patients were included, 44 patients before and 22 patients after 30 weeks. Inter-observer variability of transcerebellar diameter measurement was 0.4%. Inter-observer variability of image quality was 13.5%. Image quality was not significantly different between seniors and residents (P=0.06). Gestational age and fetal presentation did not affect significantly image quality (P=0.42) and (P=0.64) respectively. CONCLUSION Transcerebellar diameter measurement during mass screening is simple and reliable. Posterior fossa abnormalities can be explored through its measurement.
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Affiliation(s)
- C Sciard
- Centre pluridisciplinaire diagnostic prénatal, hôpital Femme-Mère-Enfants, 59, boulevard Pinel, 69677 Lyon-Bron, France
| | - A Lacalme
- Département d'imagerie pédiatrique et fœtale, hôpital Femme-Mère-Enfants, Lyon, France
| | - D Combourieu
- Centre pluridisciplinaire diagnostic prénatal, hôpital Femme-Mère-Enfants, 59, boulevard Pinel, 69677 Lyon-Bron, France
| | - P Gaucherand
- Centre pluridisciplinaire diagnostic prénatal, hôpital Femme-Mère-Enfants, 59, boulevard Pinel, 69677 Lyon-Bron, France
| | - C Lajeunesse
- Centre pluridisciplinaire diagnostic prénatal, hôpital Femme-Mère-Enfants, 59, boulevard Pinel, 69677 Lyon-Bron, France
| | - J Massardier
- Centre pluridisciplinaire diagnostic prénatal, hôpital Femme-Mère-Enfants, 59, boulevard Pinel, 69677 Lyon-Bron, France
| | - L Guibaud
- Département d'imagerie pédiatrique et fœtale, hôpital Femme-Mère-Enfants, Lyon, France
| | - M Massoud
- Centre pluridisciplinaire diagnostic prénatal, hôpital Femme-Mère-Enfants, 59, boulevard Pinel, 69677 Lyon-Bron, France.
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19
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Lacalm A, Nadaud B, Massoud M, Putoux A, Gaucherand P, Guibaud L. Prenatal diagnosis of cobblestone lissencephaly associated with Walker-Warburg syndrome based on a specific sonographic pattern. Ultrasound Obstet Gynecol 2016; 47:117-122. [PMID: 26315758 DOI: 10.1002/uog.15735] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2015] [Revised: 08/18/2015] [Accepted: 08/21/2015] [Indexed: 06/04/2023]
Abstract
We report a specific sonographic cerebral pattern of cobblestone lissencephaly (CL) that has not been described previously. This pattern was encountered in four index cases and allowed prenatal diagnosis of CL associated with Walker-Warburg syndrome. The pattern included both an outer echogenic band with reduced pericerebral space, corresponding to an infra- and supratentorial extracortical layer of neuroglial overmigration on pathological examination, and a 'Z'-shaped appearance of the brainstem. This pattern was found as early as 14 weeks' gestation in one of our cases.
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Affiliation(s)
- A Lacalm
- Département d'Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Lyon-Bron, France
| | - B Nadaud
- Laboratoire de Pathologie, Hôpital Femme Mère Enfant, Lyon-Bron, France
| | - M Massoud
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon-Bron, France
| | - A Putoux
- Département de Génétique, Hôpital Femme Mère Enfant, Lyon-Bron, France
| | - P Gaucherand
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon-Bron, France
| | - L Guibaud
- Département d'Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Lyon-Bron, France
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Lyon-Bron, France
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20
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Vabres P, Parker V, Courcet JB, St-Onge J, Duffourd Y, Rodriguez D, Mignot C, Knox R, Boland A, Olaso R, Delepine M, Darmency-Stamboul V, Vincent-Delorme C, Catteau B, Guibaud L, Arzimanoglou A, Keddar M, Callier P, Bessis D, Geneviève D, Deleuze JF, Semple R, Faivre L, Rivière JB. Mutations activatrices de mTOR en mosaïque dans l’hypomélanose d’Ito avec mégalencéphalie. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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21
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Sigaux N, Viremouneix L, Guibaud L, Breton P. [Head and neck superficial venous malformations]. ACTA ACUST UNITED AC 2015; 116:201-8. [PMID: 26296277 DOI: 10.1016/j.revsto.2015.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2015] [Accepted: 07/22/2015] [Indexed: 10/23/2022]
Abstract
Management of vascular malformations and vascular tumors has recently been maximized by the establishment of an accurate clinical and histological classification and by the development of multidisciplinary expert consultations. Head and neck localizations of venous malformations are common, thus maxillo-facial surgeons should be aware of the characteristics of this pathology and the principles of its management. Diagnosis is mainly clinical and must be certified by Doppler-ultrasonography and contrast enhanced magnetic resonance imaging with T2 fat-saturation sequence. Therapeutic decision depends on the volume of the lesion, and on functional, cosmetic and psychological complaints. Sclerotherapy is now the preferred treatment of head and neck venous malformations. It is performed in specialized interventional radiology units by intralesional injections of sclerosing solution under fluoroscopic guidance. Surgery is useful in some cases, either on its own or following sclerotherapy. In case of bulky lesion, it is necessary to search for and prevent a severe coagulopathy before planning any intervention.
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Affiliation(s)
- N Sigaux
- Chirurgie maxillo-faciale et stomatologie, centre hospitalier Lyon-Sud, hospices civils de Lyon, université Claude-Bernard Lyon 1, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
| | - L Viremouneix
- Imagerie médicale pédiatrique, centre de traitement des angiomes, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69500 Bron, France
| | - L Guibaud
- Imagerie médicale pédiatrique, centre de traitement des angiomes, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69500 Bron, France
| | - P Breton
- Chirurgie maxillo-faciale et stomatologie, centre hospitalier Lyon-Sud, hospices civils de Lyon, université Claude-Bernard Lyon 1, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France
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Guibaud L, Lacalm A. Etiological diagnostic tools to elucidate 'isolated' ventriculomegaly. Ultrasound Obstet Gynecol 2015; 46:1-11. [PMID: 25296846 DOI: 10.1002/uog.14687] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2014] [Revised: 09/08/2014] [Accepted: 09/24/2014] [Indexed: 06/04/2023]
Affiliation(s)
- L Guibaud
- Département d'Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal, Hopital Femme Mère Enfant, Lyon-Bron, France
| | - A Lacalm
- Département d'Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal, Hopital Femme Mère Enfant, Lyon-Bron, France
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Lacalm A, Garel C, Massoud M, Gelot A, Jouannic J, Guibaud L. Prenatal diagnosis of multiple cortical and deep cerebral vein thromboses in the absence of dural venous malformation. Ultrasound Obstet Gynecol 2015; 45:486-488. [PMID: 25331520 DOI: 10.1002/uog.14702] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2014] [Revised: 10/05/2014] [Accepted: 10/10/2014] [Indexed: 06/04/2023]
Affiliation(s)
- A Lacalm
- Imagerie Pédiatrique et Foetale, Hôpital Femme Mère Enfant, Lyon Bron, France
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Massoud M, Cagneaux M, Garel C, Varene N, Moutard ML, Billette T, Benezit A, Rougeot C, Jouannic JM, Massardier J, Gaucherand P, Desportes V, Guibaud L. Prenatal unilateral cerebellar hypoplasia in a series of 26 cases: significance and implications for prenatal diagnosis. Ultrasound Obstet Gynecol 2014; 44:447-454. [PMID: 24185815 DOI: 10.1002/uog.13217] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2013] [Revised: 09/13/2013] [Accepted: 09/16/2013] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To define imaging patterns of unilateral cerebellar hypoplasia (UCH), discuss possible pathophysiological mechanisms and underline the etiology and prognosis associated with these lesions. METHODS In this retrospective study we reviewed the charts of 26 fetuses diagnosed between 2003 and 2011 with UCH, defined by asymmetrical cerebellar hemispheres with or without decreased transverse cerebellar diameter. The review included analysis of the anatomy of the cerebellar hemispheres, including foliation, borders and parenchymal echogenicity, and of the severity of the hypoplasia. Data from clinical and biological work-up and follow-up were obtained. RESULTS Our series could be divided into two groups according to whether imaging features changed progressively or remained constant during follow-up. In Group 1 (n = 8), the progression of imaging features, echogenic cerebellar changes and/or hyposignal in T2*-weighted MR images were highly suggestive of ischemic/hemorrhagic insult. In Group 2 (n = 18), imaging features remained constant during follow-up; UCH was associated with abnormal foliation in three proven cases of clastic lesions, a cystic lesion was noted in three cases of PHACE (posterior fossa anomalies, hemangioma, arterial anomalies, cardiac abnormalities/aortic coarctation, eye abnormalities) syndrome and, in the remaining cases, UCH remained unchanged, with no imaging pattern typical of hemorrhage. In 24 cases the infant was liveborn and follow-up was continued in 23, for a mean period of 3 years. Among these, neurological complications were identified in seven (in one of seven (at a mean of 46 months) in Group 1 and in six of 16 (at a mean of 35 months) in Group 2). The surface loss of cerebellar hemisphere was > 50% in 19/24 fetuses and the vermis was clearly normal in appearance in 19/24. Predisposing factors for fetal vascular insult were identified in eight cases: these included maternal alcohol addiction, diabetes mellitus, congenital cytomegalovirus infection and pathological placenta with thrombotic vasculopathy and infarctions. CONCLUSION UCH is defined as a focal lesion of the cerebellum that may be secondary to hemorrhage and/or ischemic insult, suggesting a clastic origin, particularly when imaging follow-up reveals changes over time. UCH may also be a clue for the prenatal diagnosis of PHACE syndrome. The amount of surface loss of cerebellar hemisphere does not correlate with poor prognosis. UCH with normal vermis is often associated with normal outcome.
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Affiliation(s)
- M Massoud
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon I, Lyon, France
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Lepais L, Gaillot-Durand L, Boutitie F, Lebreton F, Buffin R, Huissoud C, Massardier J, Guibaud L, Devouassoux-Shisheboran M, Allias F. Fetal thrombotic vasculopathy is associated with thromboembolic events and adverse perinatal outcome but not with neurologic complications: a retrospective cohort study of 54 cases with a 3-year follow-up of children. Placenta 2014; 35:611-7. [PMID: 24862569 DOI: 10.1016/j.placenta.2014.04.012] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2014] [Revised: 04/15/2014] [Accepted: 04/22/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVE to test the hypothesis that placental fetal thrombotic vasculopathy (FTV) is associated with obstetric complications and predisposes the child to unfavorable outcomes. METHODS 54 placentas with FTV lesions and 100 placentas without FTV lesions were collected over a 5-year period at the Croix-Rousse Pathology Department. Clinical findings including maternal, fetal, neonatal condition and pediatric outcome up to three years were collected for each case and control observation. The statistical analyses were assessed with Wald's chi-square derived from conditional logistic regression modeling. RESULTS FTV was associated with a significantly higher frequency of obstetric complications: (pregnancy-induced hypertension (OR 3.620, CI 1.563-8.385), preeclampsia (OR 3.674, CI 1.500-8.998), emergency delivery procedures (OR 3.727, CI 1.477-9.403), cesarean sections (OR 2.684, CI 1.016-7.088)), poor fetal condition (intrauterine growth restriction (IUGR) (OR 5.440, CI 2.007-14.748), nonreassuring fetal heart tracing (OR 6.062, CI 2.280-16.115), difficulties in immediate ex utero adaptation (OR 3.416, CI 1.087-10.732)) and perinatal or early childhood demise (OR 3.043, CI 1.327-6.978). On pathological examination, FTV was associated with marginal cord insertion (OR 3.492, CI 1.350-9.035), cord stricture and hypercoiled cord (OR 3.936, CI 1.209-12.813). Thromboembolic events were significantly more frequent in cases with FTV (OR 2.154, CI 1.032-5.622). Neurological complications within the first 3 years of life were also more frequent in the FTV group compared to the control group, but this association was not statistically significant. CONCLUSIONS FTV is associated with maternal complications, pathological findings in the placenta, especially gross cord abnormalities, IUGR, and poor perinatal or early childhood outcome. It may also predispose children to somatic thromboembolic events.
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Affiliation(s)
- L Lepais
- Centre de Pathologique Nord, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France
| | - L Gaillot-Durand
- Centre de Pathologique Nord, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France
| | - F Boutitie
- Service de Biostatistique, Hospices Civils de Lyon, F-69003 Lyon, France; CNRS, UMR5558, F-69100 Villeurbanne, France
| | - F Lebreton
- Centre de Pathologique Nord, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France
| | - R Buffin
- Service de Réanimation Néonatale, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France
| | - C Huissoud
- Service d'Obstétrique, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France
| | - J Massardier
- Service d'Obstétrique, Hôpital Femme-Mère-Enfant, 59 Boulevard Pinel, 69677 Bron Cedex, France
| | - L Guibaud
- Service d'Imagerie Pédiatrique et Fœtale, Hôpital Femme-Mère-Enfant, 59 Boulevard Pinel, 69677 Bron Cedex, France
| | - M Devouassoux-Shisheboran
- Centre de Pathologique Nord, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France
| | - F Allias
- Centre de Pathologique Nord, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04, France.
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Massoud M, Varene N, Moutard M, Biellette T, Benezit A, Rougeot C, Des Portes V, Guibaud L. SFIPP CO-05 - Hypoplasie unilatérale du cervelet (HUC). Une série prénatale de 26 cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71842-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Viremouneix L, Pracros J, Guibaud L. SFIPP CO-10 - Sclérothérapie percutanée des malformations lymphatiques kystiques à la Doxycline. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71847-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Vinurel N, Van Nieuwenhuyse A, Cagneaux M, Garel C, Quarello E, Brasseur M, Picone O, Ferry M, Gaucherand P, des Portes V, Guibaud L. Distortion of the anterior part of the interhemispheric fissure: significance and implications for prenatal diagnosis. Ultrasound Obstet Gynecol 2014; 43:346-352. [PMID: 23640781 DOI: 10.1002/uog.12498] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2013] [Revised: 04/07/2013] [Accepted: 04/25/2013] [Indexed: 06/02/2023]
Abstract
In order to illustrate the significance of a new anatomical finding, distortion of the interhemispheric fissure (DIHF) associated with impacted medial borders of the frontal lobes, we report a retrospective observational study of 13 fetuses in which DIHF was identified on prenatal imaging. In 10 cases there were associated anatomical anomalies, including mainly midline anomalies (syntelencephaly (n=2), lobar holoprosencephaly (n=1), Aicardi syndrome (n=2)), but also schizencephaly (n=1), cortical dysplasia (n=1) and more complex cerebral malformations (n=3), including neural tube defect in two cases. Chromosomal anomaly was identified in two cases, including 6p deletion in a case without associated central nervous system anomalies and a complex mosaicism in one of the cases with syntelencephaly. In two cases, the finding was apparently isolated on both pre- and postnatal imaging, and the children were doing well at follow-up, aged 4 and 5 years. The presence of DIHF on prenatal imaging may help in the diagnosis of cerebral anomalies, especially those involving the midline. If DIHF is apparently isolated on prenatal ultrasound, magnetic resonance imaging is recommended for careful analysis of gyration and midline, especially optic and olfactory structures. Karyotyping is also recommended.
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Affiliation(s)
- N Vinurel
- Département d'Imagerie Pédiatrique et Foetale, Hôpital Femme Mère Enfant, Lyon Bron, France
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Quarello E, Molho M, Garel C, Couture A, Legac MP, Moutard ML, Bault JP, Fallet-Bianco C, Guibaud L. Prenatal abnormal features of the fourth ventricle in Joubert syndrome and related disorders. Ultrasound Obstet Gynecol 2014; 43:227-232. [PMID: 23868831 DOI: 10.1002/uog.12567] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 06/27/2013] [Accepted: 07/11/2013] [Indexed: 06/02/2023]
Abstract
Joubert syndrome and related disorders (JSRD) are characterized by absence or underdevelopment of the cerebellar vermis and a malformed brainstem. This family of disorders is a member of an emerging class of diseases called ciliopathies. We describe the abnormal features of the brain, particularly the fourth ventricle, in seven fetuses affected by JSRD. In three cases abnormality of the fourth ventricle was isolated and in four cases there were associated malformations. The molar tooth sign (MTS) was always present and visible on two-dimensional ultrasound and, when performed, on three-dimensional ultrasound and magnetic resonance imaging. The fourth ventricle was always abnormal, in both axial and sagittal views, presenting pathognomonic deformities. It is important to identify JSRD, preferably prenatally or at least postnatally, due to its high risk of recurrence of about 25%. A detailed prenatal assessment of the fourth ventricle in several views may help to achieve this goal.
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Affiliation(s)
- E Quarello
- Unité d'Échographies Obstétricales, Service de Gynécologie Obstétrique, Pôle Parents Enfants, Hôpital Saint-Joseph, Marseille, France; Institut de Médecine de la Reproduction, Marseille, France
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Léauté-Labrèze C, Mazereeuw-Hautier J, Guibaud L, Barbarot S, Maruani A, Boccara O, Cambazard F, Chiaverini C, Bourrat E, Vabres P, Souteyrand P, Voisard JJ. Le propranolol dans les hémangiomes infantiles : résultats de l’étude adaptative de phase 2/3 internationale, randomisée, contrôlée multi-doses versus placebo. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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31
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Cagneaux M, Lacalm A, Huissoud C, Allias F, Ville D, Massardier J, Guibaud L. Agenesis of the corpus callosum with interhemispheric cyst, associated with aberrant cortical sulci and without underlying cortical dysplasia. Ultrasound Obstet Gynecol 2013; 42:603-605. [PMID: 23801583 DOI: 10.1002/uog.12545] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2013] [Revised: 06/15/2013] [Accepted: 06/19/2013] [Indexed: 06/02/2023]
Affiliation(s)
- M Cagneaux
- Université Claude Bernard Lyon I, Imagerie Pédiatrique et Foetale, Hopital Femme Mère Enfant, 59, Boulevard Pinel, 69677, Lyon, Bron, France; Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, 69677, Lyon, Bron, France
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Cagneaux M, Vasiljevic A, Massoud M, Allias F, Massardier J, Gaucherand P, Guibaud L. Severe second-trimester obstructive ventriculomegaly related to disorders of diencephalic, mesencephalic and rhombencephalic differentiation. Ultrasound Obstet Gynecol 2013; 42:596-602. [PMID: 23371522 DOI: 10.1002/uog.12427] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2012] [Revised: 01/16/2013] [Accepted: 01/17/2013] [Indexed: 06/01/2023]
Abstract
By review of a series of cases, we set out to identify sonographic features suggestive of an obstructive mechanism in second-trimester fetuses with ventriculomegaly and describe developmental disorders related to pathological differentiation of the diencephalon, mesencephalon and rhombencephalon that lead to obstruction of cerebrospinal fluid flow. We studied retrospectively 11 fetuses referred for severe second-trimester ventriculomegaly of undetermined origin. Neurosonography was performed with detailed analysis of the third ventricle, thalami, cerebral aqueduct and cerebellum. The cerebral imaging data were compared with neuropathological data in eight patients, with a focus on the level and etiology of the obstruction. Parenchymal thinning and reduction of the pericerebral spaces were highly suggestive of ventriculomegaly due to an obstructive mechanism. The ventriculomegaly was related to diencephalosynapsis (thalamic fusion and third ventricle atresia) in five cases and partial/complete aqueduct stenosis in six; it was associated with cerebellar hypoplasia in six cases, including rhombencephalosynapsis in two cases. In nine patients, disorders of the diencephalon, mesencephalon and rhombencephalon were present. In cases of severe isolated ventriculomegaly in which sonographic features are suggestive of an obstructive mechanism, close examination of the third ventricle, thalami, aqueduct of Sylvius and cerebellum may reveal pathological differentiation of the diencephalon, mesencephalon or rhombencephalon, often in combination.
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Affiliation(s)
- M Cagneaux
- Département d'Imagerie Pédiatrique et Foetale, Université Claude Bernard Lyon I, Hôpital Femme Mère Enfant, Lyon-Bron, France; Centre Pluridisciplinaire de Diagnostic Prénatal, Université Claude Bernard Lyon I, Hôpital Femme Mère Enfant, Lyon-Bron, France
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Cagneaux M, Guibaud L. From cavum septi pellucidi to anterior complex: how to improve detection of midline cerebral abnormalities. Ultrasound Obstet Gynecol 2013; 42:485-486. [PMID: 23674330 DOI: 10.1002/uog.12505] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2013] [Accepted: 04/29/2013] [Indexed: 06/02/2023]
Affiliation(s)
- M Cagneaux
- Université Claude Bernard Lyon I, Imagerie pédiatrique et foetale, Hôpital Femme Mère Enfant, 59, Boulevard Pinel, 69677, Lyon-Bron, France
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Salhi A, Enjolras O, Hantallah A, Soupre V, Guibaud L, AitBenamar A. Malformation digastrique chez un nouveau né : diagnostic différentiel des malformations lymphatiques à ne pas méconnaître. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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35
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Chicaud B, Massoud M, Vasiljevic A, Van Nieuwenhuyse A, Massardier J, Guibaud L, Gaucherand P, Bouvier R. Dysplasie rénale plurikystique de forme hydronéphrotique avec atrésie fibro-inflammatoire de la jonction pyélo-urétérale : une forme atypique d’obstruction haute des voies excrétrices urinaires. Ann Pathol 2012. [DOI: 10.1016/j.annpat.2012.09.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Massoud M, Clerc J, Cagneux M, Vasiljevic A, Massardier J, Doret M, Gaucherand P, Des Portes V, Guibaud L. Prenatal diagnosis of cerebellar cortical dysplasia associated with abnormalities of foliation. Ultrasound Obstet Gynecol 2012; 40:243-244. [PMID: 22689128 DOI: 10.1002/uog.11210] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- M Massoud
- Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon I, Lyon, France
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Bouvier R, Cordier MP, Guffon N, Guibaud L, Vianey-Saban C. Manifestations prénatales des maladies héréditaires du métabolisme. Arch Pediatr 2012. [DOI: 10.1016/s0929-693x(12)71188-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Bault JP, Salomon LJ, Guibaud L, Achiron R. Role of three-dimensional ultrasound measurement of the optic tract in fetuses with agenesis of the septum pellucidum. Ultrasound Obstet Gynecol 2011; 37:570-575. [PMID: 20878682 DOI: 10.1002/uog.8847] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVES To construct reference ranges for fetal optic tract mean diameter and to report measurements in fetuses with agenesis of the septum pellucidum (SP). METHODS Three-dimensional volumes of the optic chiasm were acquired in 98 normal fetuses during routine sonographic examination at 21-36 weeks' gestation and the diameters of the posterior left and right optic tracts were measured offline. A polynomial regression approach (mean and SD model) was used to compute reference charts for the mean fetal optic tract diameter measurements. In addition, 23 volumes were acquired in fetuses with SP agenesis for offline measurement of optic tract diameter. Complete follow-up was obtained in 13 of these 23 cases. RESULTS In normal fetuses, the optic tract diameter increased linearly throughout gestation. There was no evidence of increased variability with gestational age (constant SD). Normal charts and equations for Z-score calculation were constructed. Among the 13 fetuses with SP agenesis and complete follow-up, nine had normal measurements, of which eight had normal vision postnatally. Four had hypoplastic optic tract, defined as mean optic tract diameter Z-score below - 3. Of these, two underwent termination of pregnancy and pathological examination confirmed hypoplasia of the tract, one showed signs of hypoplasia at magnetic resonance imaging and postnatal examination confirmed blindness, and one had a hypoplastic measurement for only one tract and was born with poor vision and abnormal bilateral eye movements. CONCLUSION We present new reference charts for mean fetal optic tract diameter. In fetuses with agenesis of the SP, sonography of the optic tract might be a useful tool to assess its development and may help in prenatal counseling.
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Affiliation(s)
- J P Bault
- Centre d'Echographies Ambroise Paré Les Mureaux, CHI Poissy Saint-Germain, Yvelines, France.
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Peyrière MP, Roth P, Combourieu D, Vavasseur C, Bouvier R, Guibaud L, Gaucherand P. [Aetiology and prognosis of prenatally diagnosed megacystis regarding gestational age at discovery. A six-year retrospective study]. Gynecol Obstet Fertil 2010; 38:663-667. [PMID: 21035372 DOI: 10.1016/j.gyobfe.2010.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2010] [Indexed: 05/30/2023]
Abstract
OBJECTIVES The purpose of this study is to describe the diagnosis, the care and the prognosis of the fetuses with an antenataly diagnosed megacystis. PATIENTS AND METHODS Six year retrospective study about 46 cases of megacystis (26 diagnosed during 1st trimester; 14 during 2nd trimester; 9 during 3rd trimester) referred in the prenatal fetal medicine unit of the Femme-Mère-Enfant hospital in Lyon (France). RESULTS The main aetiology is urethral occlusion, particularly for megacystis discovered during the 1st and the 2nd trimesters. Twenty-two terminations of pregnancy were performed (47.8%) and 6 pregnancies arrested spontaneously (13%). Eighteen children were born alive, but 2 died in neonatal period. Finally, 16 children survived (34.8%). Chromosomal abnormalities are frequent (22%). DISCUSSION AND CONCLUSION Antenatal discovery of a megacystis is a complex situation, and often of poor fetal prognosis. It requires a multidisciplinary approach to allow the concerned couple to be determined on the best care of this pregnancy.
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Affiliation(s)
- M-P Peyrière
- Service d'obstétrique, centre pluridisciplinaire de diagnostic prénatal, hôpital Femme-Mère-Enfant, 69500 Bron, France
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Collin AC, Viremouneix L, Guibaud L, Breton P. Les malformations artérioveineuses intra-osseuses. ACTA ACUST UNITED AC 2010; 111:11-8. [DOI: 10.1016/j.stomax.2009.12.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2009] [Accepted: 08/17/2009] [Indexed: 10/19/2022]
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Monrigal E, Gallot D, James I, Hameury F, Vanlieferinghen P, Guibaud L. Venous malformation of the soft tissue associated with blue rubber bleb nevus syndrome: prenatal imaging and impact on postnatal management. Ultrasound Obstet Gynecol 2009; 34:730-732. [PMID: 19953564 DOI: 10.1002/uog.7469] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Guibaud L. Fetal cerebral ventricular measurement and ventriculomegaly: time for procedure standardization. Ultrasound Obstet Gynecol 2009; 34:127-130. [PMID: 19644945 DOI: 10.1002/uog.6456] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Affiliation(s)
- L Guibaud
- Université Claude Bernard Lyon I, Imagerie Pédiatrique et Foetale, Hôpital Femme Mère Enfant, 59, Boulevard Pinel, 69677 Lyon-Bron, France.
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Huissoud C, Rudigoz RC, Bisch C, Brahimi P, Alias F, Tixier H, Guibaud L. Complete cerebellar agenesis: a very rare abnormality of the posterior fossa. Ultrasound Obstet Gynecol 2009; 33:730-731. [PMID: 19479681 DOI: 10.1002/uog.6402] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Chousta A, Ville D, James I, Foray P, Bisch C, Depardon P, Rudigoz RC, Guibaud L. Pericallosal lipoma associated with Pai syndrome: prenatal imaging findings. Ultrasound Obstet Gynecol 2008; 32:708-710. [PMID: 18781581 DOI: 10.1002/uog.6150] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Pai syndrome is a rare disorder characterized by the association of a midline pericallosal lipoma, median cleft (palate or lip) and cutaneous polyps of the face. Only seven cases have been reported in the medical literature and we are not aware of any previously reported prenatally detected cases. In this article, we present the prenatal ultrasound and magnetic resonance imaging findings of a syndromic pericallosal lipoma with associated anomalies that led to the prenatal diagnosis of Pai syndrome. We underline the impact on parental counseling following prenatal detection of pericallosal lipoma.
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Affiliation(s)
- A Chousta
- Département d'Imagerie Pédiatrique et Foetale, Hôpital Femme-Mère-Enfant, France
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Huissoud C, Bisch C, Charrin K, Rudigoz RC, Guibaud L. Prenatal diagnosis of partial lumbar asoma by two- and three-dimensional ultrasound and computed tomography: embryological aspects and perinatal management. Ultrasound Obstet Gynecol 2008; 32:579-581. [PMID: 18726933 DOI: 10.1002/uog.6136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Asoma is an unusual type of hemivertebra distinct from lateral hemivertebra in its underlying mechanisms, its rarity, its often isolated nature and the high risk of it causing medullary compression. We report a case of isolated partial agenesis of a vertebral body (asoma) diagnosed at 23 weeks' gestation by ultrasonography, in a fetus showing hyperkyphosis with vertebral canal disruption. The diagnosis was established using ultrasound and computed tomography, which allowed measurement of the angle of kyphosis and helped in the determination of the postnatal orthopedic prognosis. In our patient, prenatal diagnosis of asoma facilitated optimization of postnatal management and reduced the neonate's risk of developing paralysis. The main anatomical parameters in the determination of the orthopedic risk are the level of the anomaly, the angle of kyphosis and the degree of vertebral canal disruption.
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Affiliation(s)
- C Huissoud
- Service de Gynécologie-Obstétrique, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Université Claude-Bernard Lyon I, France.
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Quarello E, Stirnemann J, Ville Y, Guibaud L. Assessment of fetal Sylvian fissure operculization between 22 and 32 weeks: a subjective approach. Ultrasound Obstet Gynecol 2008; 32:44-49. [PMID: 18570210 DOI: 10.1002/uog.5353] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
OBJECTIVE Sylvian fissure operculization (SFO) is a dynamic process throughout gestation and is a reliable feature of fetal cortex gyration that is amenable to prenatal ultrasound examination. This study aimed to define a subjective and reproducible method for SFO assessment. METHODS This was a cross-sectional study of the sonographic anatomy of SFO conducted over a 9-month period in 200 fetuses with normal anatomical ultrasound examination at 22-32 weeks of gestation. We used a standardized view in an axial cerebral plane. SFO was scored according to a pre-defined scoring sheet based on the degree of overriding of the insula by the temporal lobe across gestational age. Because of the nested nature of the dataset, linear mixed effects models were used for concurrent assessment of inter- and intraobserver agreement of this scoring method. Subject-specific variance of the score was derived for each week of gestation from the whole repeated-measures dataset and the 5(th) and 95(th) percentiles of the score (mean score(week) +/- 1.645 SD(subject, week)) were determined. RESULTS The inter- and intraobserver agreement correlation coefficients were 0.91 (0.89-1.00) and 0.95 (0.93-1.00), respectively, with a standard error of measurement < 1 scoring unit, which corresponds to an accuracy of within 1 week. A reference chart was fitted, showing the increase of the SFO score between 22 and 32 weeks, along with age-specific 5(th) and 95(th) percentiles. CONCLUSION A simple scoring evaluation of the SFO is a reliable method for its assessment at between 22 and 32 weeks of gestation.
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Affiliation(s)
- E Quarello
- Department of Obstetrics and Gynecology, Centre Hospitalier Intercommunal de Poissy, Poissy, France.
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Guibaud L, Selleret L, Larroche JC, Buenerd A, Alias F, Gaucherand P, Des Portes V, Pracros JP. Abnormal Sylvian fissure on prenatal cerebral imaging: significance and correlation with neuropathological and postnatal data. Ultrasound Obstet Gynecol 2008; 32:50-60. [PMID: 18570201 DOI: 10.1002/uog.5357] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
OBJECTIVE To illustrate and determine the significance of abnormal Sylvian fissure development (or abnormal operculization) in cases in which prenatal cerebral imaging is suggestive of underlying cortical dysplasia. METHODS This was a retrospective study of 15 fetuses at 24-34 weeks in which abnormal operculization was identified on prenatal cerebral imaging and for which follow-up data were available. The imaging findings were correlated to macro- and microscopic neuropathological data (n = 11) or to postnatal clinical and imaging findings (n = 4). RESULTS On microscopic examination of fetuses from 11 terminated pregnancies, abnormal operculization was associated with cortical dysplasia in four cases and the cortex was normal in seven. Abnormal operculization was associated with cortical dysplasia in only one of the four liveborn infants. Cases of abnormal Sylvian fissure development with normal cortical architecture were classified, according to associated anomalies of the central nervous system, into one of five groups: those with neural tube defects, microcephaly or frontal hypoplasia, glutaric aciduria, other cerebral abnormalities, and extracerebral anomalies. CONCLUSION Abnormal operculization on prenatal imaging does not systematically reflect underlying cortical dysplasia. It may be related to extracortical factors such as abnormal cerebral volume or other developmental anomalies of the central nervous system. An understanding of the significance of abnormal Sylvian fissure development could be useful in integrating its analysis into a more general one of the whole central nervous system.
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Affiliation(s)
- L Guibaud
- Imagerie Pédiatrique et Foetale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon I, Lyon-Bron, France.
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Mellerio C, Marignier S, Roth P, Gaucherand P, des Portes V, Pracros JP, Guibaud L. Prenatal cerebral ultrasound and MRI findings in glutaric aciduria Type 1: a de novo case. Ultrasound Obstet Gynecol 2008; 31:712-714. [PMID: 18470866 DOI: 10.1002/uog.5336] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Elia D, Garel C, Enjolras O, Vermouneix L, Soupre V, Oury JF, Guibaud L. Prenatal imaging findings in rapidly involuting congenital hemangioma of the skull. Ultrasound Obstet Gynecol 2008; 31:572-575. [PMID: 18432598 DOI: 10.1002/uog.5341] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
We report two cases of rapidly involuting congenital hemangioma (RICH) of the skull diagnosed in the third trimester of gestation, and also present a brief review of the literature. In both of our cases ultrasound examination showed a soft tissue vascular mass of the skull with a specific sonographic finding: a thin hyperechogenic line over the lesion and continuous with the calvaria, suggesting a subperiosteal origin and possibly accounting for a mass effect on the underlying skull. This was slight in one case and marked in the other (and associated with involvement of the calvaria). On prenatal T2-weighted magnetic resonance imaging, the signal of each of the lesions was less marked than the hypersignal encountered in the postnatal period. Postnatal clinical and radiological follow-up over the first few months after delivery confirmed the diagnosis of RICH in each case by demonstrating a significant decrease in the size of the tumor and regression of the vascular component, with complete involution of the lesion within a year.
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Affiliation(s)
- D Elia
- Service de Radiopédiatrie, Hôpital Armand Trousseau, Paris, France
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Rénard C, Marignier S, Gillet Y, Roure-Sobas C, Guibaud L, Des Portes V, Lion-François L. [Acute hemiparesis revealing a neuroborreliosis in a child]. Arch Pediatr 2007; 15:41-4. [PMID: 18155890 DOI: 10.1016/j.arcped.2007.10.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2007] [Revised: 10/12/2007] [Accepted: 10/17/2007] [Indexed: 11/19/2022]
Abstract
We report on a 11-year-old boy who had 2 acute hemiparesis episodes over a period of 1 month. He suffered from headache and fatigue since 1 year. He could not remember neither a tick bite nor a local erythematous skin lesion. The diagnosis of neuroborreliosis was based on intrathecal production of specifics antibodies. Furthermore, the CSF/blood glucose ratio was decreased (0.14), which was rarely described. Cranial MRI showed left capsulothalamic inflammation and a vasculitis. The patient was successfully treated by ceftriaxone. Neuroborreliosis should be considered in all children with stroke-like episode, even in the absence of a history of a tick bite.
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Affiliation(s)
- C Rénard
- Service de neurologie, hôpital Debrousse, 29, rue des Soeurs Bouvier, 69322 Lyon cedex 05, France
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