Fetal brain death syndrome--a case report and literature review

The Australian & New Zealand Journal of Obstetrics & Gynaecology
S J James

Abstract

This case describes a new feature of fetal brain death syndrome, abnormal movements mimicking fetal convulsions being subsequently found to be decerebrate hypertonicity in a brain-dead fetus. It also confirms the diagnostic criteria of fetal brain death, both clinical and ultrasonic. The development of polyhydramnios both prior to and after the presumed neurological event is suggested as an association with the diagnosis of fetal brain death. Increased awareness of this event and the heterogeneity of the presentation may prevent further unnecessary Caesarean sections, as to date only 4 of the 10 cases in the literature were diagnosed prenatally. Utilization of techniques such as fetal blood sampling should be considered to further delineate the diagnosis.

References

Mar 1, 1978·Pediatrics·D Cook
Feb 1, 1988·British Journal of Obstetrics and Gynaecology·J G NijhuisJ A van Wijck
Apr 1, 1967·Archives of Disease in Childhood·M BejsovecE Ponca
Nov 1, 1995·The Australian & New Zealand Journal of Obstetrics & Gynaecology·R Cincotta, S Brennecke
Oct 1, 1996·Obstetrics and Gynecology·L A Abrams, J Balducci
Oct 1, 1996·Obstetrics and Gynecology·D W SkupskiF A Chervenak

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Citations

Dec 19, 2006·Taiwanese Journal of Obstetrics & Gynecology·Yi-Ting ChenMin-Min Chou
Nov 28, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S NishimakiS Yokota
May 25, 2010·The Journal of Obstetrics and Gynaecology Research·Keiko UedaJulian T Parer
Dec 10, 1999·Obstetrics and Gynecology Clinics of North America·F C Christensen, W F Rayburn
Nov 20, 2002·Clinical Obstetrics and Gynecology·Maria D Velazquez, William F Rayburn

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