Quantitation of craniofacial anomalies in utero: fetal alcohol and Crouzon syndromes and thanatophoric dysplasia

American Journal of Medical Genetics
L F EscobarL M Padilla

Abstract

The study of fetal growth and development by ultrasound has been greatly facilitated in the past few years by the availability of anthropometric standards for the fetal body. Thus, the obstetrician is able to discern between normal and grossly abnormal, and even to quantitate certain fine fetal structures such as the face. This paper presents results obtained from a group of 5 patients referred to the Medical Center from private practices in Indianapolis, Indiana. Prenatal cephalometric analyses by ultrasound suggested the presence of craniofacial anomalies in all 5 cases. However, such defects were not detectable by routine ultrasonographic examination. A clinical examination after birth of each of these 5 patients suggested the following diagnoses: Fetal Alcohol Syndrome (FAS) in 2 individuals, Fetal Alcohol Effects (FAE) in one individual, Crouzon Syndrome (CS) in one patient, and Thanatophoric Dysplasia (TD) in one patient. In order to compare the craniofacial measurement values for each patient to normal standards, we developed Z-Score profiles and Pattern Variability Indexes (PVI) as described by Garn et al. [1984, 1985]. The values presented here support the idea that even mildly abnormal fetal craniofacial patterns are ...Continue Reading

References

Mar 1, 1987·American Journal of Medical Genetics·S K ClarrenA P Streissguth
Feb 1, 1985·AJR. American Journal of Roentgenology·S M GarnB H Smith
Nov 1, 1982·The Journal of Pediatrics·J L FriasG J King

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Citations

Jan 30, 2003·Clinical Biochemistry·Janine Denis Cook
Dec 1, 1996·Pharmacology, Biochemistry, and Behavior·J H Hannigan
Jul 8, 1997·Proceedings of the National Academy of Sciences of the United States of America·L RifasL V Avioli
Dec 31, 1993·Early Human Development·C A Mandarim-de-Lacerda
May 2, 1997·American Journal of Medical Genetics·J E Allanson
Feb 24, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N M RoelfsemaJ W Wladimiroff
Feb 24, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N M RoelfsemaJ W Wladimiroff

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