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Band Syndrome (band + syndrome)
Kinds of Band Syndrome Selected AbstractsUmbilical cord strangulation by an amniotic band resulting in a stillbirthJOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH (ELECTRONIC), Issue 2 2008Samuel Lurie Abstract Background:, Amniotic band syndrome with umbilical cord strangulation is extremely rare and is usually described during second trimester. We present a case of umbilical cord strangulation causing fetal demise in a full-term otherwise healthy fetus. Case:, A 39-year-old gravida 15 para 12 after one previous cesarean section presented with reduced fetal movements at the 41st gestational week. On admission, fetal heart tracing, biophysical profile and oxytocin challenge test were normal. Later, an intrauterine fetal demise was diagnosed. After delivery, an amniotic band causing strangulation of the umbilical cord was observed. The fetus was without apparent anomalies. Conclusion:, Although extremely rare, constriction of the umbilical cord by an amniotic band can cause its strangulation followed by a stillbirth even in full-term otherwise healthy fetus. [source] When is fetoscopic release of amniotic bands indicated?PRENATAL DIAGNOSIS, Issue 5 2009Review of outcome of cases treated in utero, selection criteria for fetal surgery Abstract Objectives The objectives are to analyze the outcomes of fetal interventions for fetal limb abnormalities associated with amniotic band syndrome (ABS), to compare the outcome with the known natural history, and to establish selection criteria for fetal intervention. Material and Methods In a Medline search, six cases of prenatal fetoscopic interventions for ABS were found. An unpublished case was added. Results Review of the seven cases of treated ABS in utero suggests that abnormal, but present blood flow at Doppler distal to the area constricted by the band may optimally identify cases suitable for fetal surgery. We propose a prenatal classification in stages of cases of ABS based on ultrasound and Doppler findings. Premature rupture of membranes (PROM) occurred in five patients (71%). The median gestational age (GA) at delivery was 34.8 weeks (range 32 to 39). The median time between procedure and PROM was 6 weeks (range 4 days to 14.3 weeks). The median time between procedure and delivery was 11.8 weeks (range 5,17). Conclusion The use of a uniform prenatal classification of cases of ABS may allow a more precise correlation of prenatal findings and postnatal outcome. Copyright © 2009 John Wiley & Sons, Ltd. [source] Complete karyotype discrepancy between placental and fetal cells in a case of ring chromosome 18PRENATAL DIAGNOSIS, Issue 6 2001Wolfgang Fischer Abstract A case of complete karyotype discrepancy between cultured chorionic villi and amniotic in addition to fetal cells is reported. Ring chromosome 18 and monosomy 18 mosaicism was detected after amniocentesis. The pregnancy was terminated in the 23rd gestational week. Cytogenetic analysis of cultured umbilical cord tissue after termination confirmed the finding of ring chromosome 18/monosomy 18 mosaicism. In cultured umbilical blood lymphocytes monosomic cells 45,-18 were not detected and the karyotype was 46,XY,r(18). In contrast, short-term and long-term cultured chorionic villi showed a normal male karyotype of 46,XY. Ultrasonographic examination revealed amniotic band syndrome and scoliosis in the caudal region of the spine. Copyright © 2001 John Wiley & Sons, Ltd. [source] HS08 CONGENITAL HAND: THE DEFORMITY-DEFICIENCY INDEXANZ JOURNAL OF SURGERY, Issue 2007L. C. Teoh Congenital hand is a complex and vast subject therefore classification is very necessary for the purpose of teaching, communication and guide treatment. The first comprehensive and yet user friendly classification was proposed by Swanson et al. in 1976. This classification based on etiopathogenic is popularly known as the ,IFSSH 7 groups classification'. (I) Failure of formation: transverse or longitudinal (II) Failure of differentiation (III) Polydactyly (IV) Overgrowth (V) Undergrowth (VI) Amniotic band syndrome (VII) Generalized skeletal syndromes. However this classification was found not able to satisfactorily classify 20,30% of cases. Other classifications based on genetic defects, teratogenic sequence and syndromics were being introduced previously and continue to be used parallel with the IFSSH classification. Furthermore the classification continue to be besieged by multiple morphological types of deformity in a same hand. Ogino introduced the JSSH expanded classification to address some of the deficiencies of the IFSSH classification. For a beginner in treating congenital hand, it is indeed daunting, as the variations in morphology, the degree of severity and functional deficit even in the same diagnosis can be very different. It is usual to find further sub classifications. For the purpose of guiding treatment, I propose the concept of deformity/ deficiency index. Group I) The imbalance/ small in size II) Extra digits III) Mal positioned/ Mal-aligned IV) Poor/ No function V) Total absent. The residual functional decreases from group I to V. And similarly the reconstruction becomes complex and difficult. [source] Periarticular lesions detected on magnetic resonance imaging: Prevalence in knees with and without symptomsARTHRITIS & RHEUMATISM, Issue 10 2003Catherine L. Hill Objective To evaluate, using magnetic resonance imaging (MRI), the prevalence of periarticular lesions in older persons with or without knee pain, and to assess the association of these lesions with knee pain. Methods Subjects ages 45 years and older, with or without knee pain, were recruited from Veterans Affairs medical centers and from the community. Weight-bearing posteroanterior, skyline, and lateral radiographs were obtained in all subjects. Subjects were divided into 3 groups: those with radiographic OA (ROA) and knee pain (n = 376), those with ROA and no knee pain (n = 51), and those with neither ROA nor knee pain (n = 24). A single knee (the more symptomatic one in subjects with knee pain) was imaged with a 1.5T scanner using T1- and T2-weighted and proton-density spin-echo imaging sequences. MRIs were read for the presence of periarticular lesions, which were categorized (according to their general location) as being either peripatellar (prepatellar, superficial infrapatellar, deep infrapatellar) or "other periarticular lesions" (semimembranosus,tibial collateral ligament bursitis, anserine bursitis, iliotibial band syndrome, tibiofibular cyst). Results Patients with knee pain had more severe radiographic disease than did subjects who were asymptomatic. Peripatellar lesions (prepatellar or superficial infrapatellar) were present in 12.1% of the patients with knee pain and ROA, in 20.5% of the patients with ROA and no knee pain, and in 0% of subjects with neither ROA nor knee pain (P = 0.116). However, other periarticular lesions were present in 14.9% of patients with both ROA and knee pain, in only 3.9% of patients with ROA but no knee pain, and in 0% of the group with no knee pain and no ROA (P = 0.004). Conclusion Although peripatellar lesions are equally common among subjects with knee pain and those without knee pain, other periarticular lesions (including bursitis and iliotibial band syndrome) are significantly more common among subjects with knee pain and may contribute to pain in these individuals. [source] |