Kratko priopćenje
ENCEPHALOMALACIA AS A RESULT OF TWIN TO TWIN TRANSFUSION SYNDROME – CASE REPORT
Snježana Gverić-Ahmetašević
; Odjel za intenzivno liječenje novorođenčadi i nedonoščadi, Klinika za ženske bolesti i porode KBC-a i Medicinskog fakulteta, Zagreb
Ana Čolić
; Odjel za intenzivno liječenje novorođenčadi i nedonoščadi, Klinika za ženske bolesti i porode KBC-a i Medicinskog fakulteta, Zagreb
Tugomir Gverić
; Kirurška klinika, Opća bolnica Sveti Duh, Zagreb
Sažetak
Cerebral morbidity in twin to twin transfusion (TTTS) occurs often. Both donors and recipients are at risk of developing either ischemic or hemorrhagic lesions. Our patient was born from twin pregnancy at 32nd week of gestational age, after intrauterine fetal death of the second twin. The mother had gestational diabetes. After delivery the baby was pale, hypotonic, without spontaneous respirations, bradicardic, with generalized edema, with birth-weight 2230 grams. The blood count revealed heavy anemia. Seizures appeared at the fourth day of life. Ultrasound imaging (US) noted on first day of life hyperechogenicity of white and gray matter. Resistance index (RI) of anterior and middle cerebral artery revealed high systole spike almost without diastole (edema), and at 4th day of life there was a reperfusion with RI of 0,57. The first sign of leucomalacia appeared on 8th day. Ischemic leukomalacia of almost all telencephalon with hypoplastic corpus callosum were seen by US on 19th day of life. The finding was proved by magnetic resonance imaging. The child survived with serious neurological impairment.
Ključne riječi
twin to twin transfusion syndrom (TTTS); encephalomalacia; cystic leukomalacia; twin pregnancy
Hrčak ID:
23526
URI
Datum izdavanja:
1.3.2008.
Posjeta: 4.021 *