"Multicystic dysplastic kidney (Potter type II syndrome) and agenesis of corpus callosum (ACC) in two consecutive pregnancies: a possible teratogenic effect of electromagnetic exposure in utero".
Agenesis of the corpus callosum is found in about 5 per 1,000 births and it is due to maldevelopment or, secondary, to destructive lesions. Multicystic dysplastic kidneys is a consequence of either developmental failure of the mesonephric blastema to form nephrons or to early urinary obstruction due to urethral or ureteric atresia and can be found in about 1 per 1,000 live births. A case of fetal multicystic dysplastic kidney disease (Potter type II syndrome) and complete agenesis of the corpus callosum demonstrated by the presence of Probst bundles associated with colpocephaly occurring in the same mother in her two consecutive pregnancies is reported. Data regarding possible teratogenetic effect due to electromagnetic exposure in utero have also been investigated and raised suspicionus as a potential risk factor. In cases of suspected second trimester ultrasound diagnosis of agenesis of corpus callosum (ACC), the following clinical management should be recommended: fetal karyotype; a second level scan with differentiation between underlying conditions such as hydrocephalus and holoprosencephaly; antenatal MRI to enhance the diagnostic accuracy of possible associated neuronal migration (when possible); and direct demonstration of the presence of the Probst bundles to neurohistology.
Tonni
Gabriele
G
Prenatal Diagnostic Service, Division of Obstetrics and Gynecology, Guastalla Provincial Hospital-AUSL Reggio Emilia, Reggio Emilia, Italy. Tonni.Gabriele@ausl.re.it
Azzoni
Daniela
D
Ventura
Alessandro
A
Ambrosetti
Fabrizio
F
De Felice
Claudio
C
D000015:Abnormalities, Multiple / Q000209:etiology / Q000473:pathology; D000328:Adult; D061085:Agenesis of Corpus Callosum; D003337:Corpus Callosum / Q000528:radiation effects; D005260:Female; D006801:Humans; D018811:Maternal Exposure; D021782:Multicystic Dysplastic Kidney / Q000209:etiology / Q000473:pathology; D011247:Pregnancy; D011296:Prenatal Diagnosis; D011827:Radiation; D013723:Teratogens
D013723:Teratogens