[Polyhydramnios in congenital myotonic dystrophy].
A case of hydramnion by congenital myotonic dystrophy is presented. By a 31 years old primipara typical causes of hydramnion as fetal malformations, immunologic or non-immunologic hydrops, diabetes mellitus or intrauterine infections could be excluded. Because of a severe fetal dystrophy with imminent asphyxia a caesarean section has been performed in the 35th. week of pregnancy. The newborn showed all clinical symptoms of congenital myotonic dystrophy and died after four weeks in a respiratory distress. A muscle biopsy of the m. quadriceps confirmed the diagnosis. EMG examination of the parents revealed a conductoring state of the mother. Possible causes of "idiopathic" hydramnion and possibilities of prenatal diagnosis of congenital myotonic dystrophy are discussed.
Wieacker
P
P
Universitäts-Frauenklinik Freiburg.
Wilhelm
C
C
Fürste
H
H
Schillinger
H
H
D005260:Female; D006801:Humans; D009224:Myotonia Congenita / Q000150:complications* / Q000175:diagnosis; D006831:Polyhydramnios / Q000209:etiology*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis; D014463:Ultrasonography
Polyhydramnie bei kongenitaler myotonischer Dystrophie.