Prenatal diagnosis of short-rib Polydactyly syndrome type 3 (Verma-Naumoff type) by three-dimensional helical computed tomography

Takahiro Yamada, Gen Nishimura, Keiichiro Nishida, Hideaki Sawai, Tokuhiko Omatsu, Taichi Kimura, Hiroshi Nishihara, Rina Shono, Shigeki Shimada, Mamoru Morikawa, Masato Mizushima, Takashi Yamada, Kazutoshi Cho, Shinya Tanaka, Hiroki Shirato, Hisanori Minakami

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Abstract

We present a case of short-rib polydactyly syndrome (SRPs) type 3 in which accurate prenatal diagnosis was feasible using both ultrasonography and 3D-CT. SRP encompass a heterogeneous group of lethal skeletal dysplasias. However, the phenotypes overlap with those of nonlethal skeletal dysplasias (i.e. Ellis-van Creveld syndrome and Jeune syndrome). As accurate prenatal diagnosis of SRP is helpful for parents, we used 3D-CT in the early third trimester to examine a fetus suggested to have phenotypes of 'short-rib dysplasia group' on ultrasonography. 3D-CT showed mild modification of the vertebral bodies, small ilia with horizontal acetabula and triangular partial ossification defects, and subtle metaphyseal irregularities of the femora. These CT findings and an extensive literature search regarding the phenotypes of various diseases categorized as short-rib dysplasia group led to a correct prenatal diagnosis of SRP type 3. This case exemplified the usefulness of 3D-CT for the precise prenatal diagnosis of skeletal dysplasias.

Original languageEnglish
Pages (from-to)151-155
Number of pages5
JournalJournal of Obstetrics and Gynaecology Research
Volume37
Issue number2
DOIs
Publication statusPublished - Feb 2011

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Keywords

  • 3D-CT
  • Asphyxiating thoracic dystrophy
  • Jeune syndrome
  • Prenatal diagnosis
  • Short-rib Polydactyly syndrome

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Yamada, T., Nishimura, G., Nishida, K., Sawai, H., Omatsu, T., Kimura, T., Nishihara, H., Shono, R., Shimada, S., Morikawa, M., Mizushima, M., Yamada, T., Cho, K., Tanaka, S., Shirato, H., & Minakami, H. (2011). Prenatal diagnosis of short-rib Polydactyly syndrome type 3 (Verma-Naumoff type) by three-dimensional helical computed tomography. Journal of Obstetrics and Gynaecology Research, 37(2), 151-155. https://doi.org/10.1111/j.1447-0756.2010.01324.x