RT Journal Article
SR Electronic
T1 Meningomyelocele: Early Detection Using 3-Dimensional Ultrasound Imaging in the Family Medicine Center
JF The Journal of the American Board of Family Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 270
OP 272
DO 10.3122/jabfm.2010.02.090226
VO 23
IS 2
A1 Forest, Christopher P.
A1 Goodman, Darenie
A1 Hahn, Ricardo G.
YR 2010
UL http://www.jabfm.org/content/23/2/270.abstract
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.