title: [Polyhydramnios in congenital myotonic dystrophy].
abstract: 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.
authors.affiliation: Universitäts-Frauenklinik Freiburg.
authors.forename: P
authors.initials: P
authors.lastname: Wieacker
authors.forename: C
authors.initials: C
authors.lastname: Wilhelm
authors.forename: H
authors.initials: H
authors.lastname: Fürste
authors.forename: H
authors.initials: H
authors.lastname: Schillinger
mesh_terms: 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
vernacular_title: Polyhydramnie bei kongenitaler myotonischer Dystrophie.