Congenital placental-cerebral adhesion: an unusual case of amniotic band sequence. Case report.
Amniotic band sequence is a disruption sequence having a broad spectrum of clinical manifestations ranging from partial amputations to major craniofacial and limb-body wall defects. Most reported cases of placental-cerebral adhesion pertain to patients with severe craniofacial defects who were either stillborn or who died a few hours after birth. The authors present a case of a male infant born with a placental-cerebral adhesion through a cranial defect. This adhesion was separated at birth, and duraplasty and primary scalp closure were performed. A detailed examination of the placenta revealed the presence of multiple amniotic bands. The case demonstrates that survival and normal early post-natal development are possible if the condition is treated promptly.
Merrimen
Jennifer L O
JL
Department of Pathology, Division of Neurosurgery, ImK Health Centre and Dalhousie University, Halifax, Nova Scotia, Canada.
McNeely
P Daniel
PD
Bendor-Samuel
Richard L
RL
Schmidt
Matthias H
MH
Fraser
Robert B
RB
D000328:Adult; D000652:Amniotic Band Syndrome / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006260:Head Protective Devices; D006801:Humans; D007231:Infant, Newborn; D010920:Placenta / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D011247:Pregnancy; D012086:Reoperation; D012535:Scalp / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D000267:Tissue Adhesions