Abstract
A young primigravida presented to the family medicine clinic 7 weeks pregnant. Standard 2-dimensional ultrasound at 9 weeks revealed a grossly abnormal posterior brain and 2 adjacent sonolucent structures: 2 yolk sacs versus a yolk sac and cyst. Imaging by 3-dimensional ultrasound distinguished these structures, revealing a caudal cyst with continuity of fetal tissue consistent with a meningomyelocele. To date there is no documentation in the literature of a meningomyelocele diagnosed during the first trimester of pregnancy. Identification of neural tube defects early in pregnancy offers increased options to the mother and may impact long-term fetal prognosis.
Original language | American English |
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Journal | Journal of the American Board of Family Medicine |
Volume | 23 |
DOIs | |
State | Published - Mar 2010 |
Keywords
- 3-dimensional ultrasound
- meningomyelocele
- neural tube defect
- prenatal care
Disciplines
- Medicine and Health Sciences