PT  - JOURNAL ARTICLE
AU  - Christopher P. Forest
AU  - Darenie Goodman
AU  - Ricardo G. Hahn
TI  - Meningomyelocele: Early Detection Using 3-Dimensional Ultrasound Imaging in the Family Medicine Center
AID  - 10.3122/jabfm.2010.02.090226
DP  - 2010 Mar 01
TA  - The Journal of the American Board of Family Medicine
PG  - 270--272
VI  - 23
IP  - 2
4099  - http://www.jabfm.org/content/23/2/270.short
4100  - http://www.jabfm.org/content/23/2/270.full
SO  - J Am Board Fam Med2010 Mar 01; 23
AB  - 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.