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Prenatal Diagnosis of Fetal Seizure: A Case Report
Journal of Korean Medical Science ; : 906-908, 2008.
Artigo em Inglês | WPRIM | ID: wpr-168520
ABSTRACT
A 35-yr-old woman carrying a 17-week-old fetus presented with right hydronephrosis and a single umbilical artery. Karyotyping was normal and targeted ultrasonography showed an otherwise normal fetus. After 28 weeks of gestation, the mother felt rapid, repetitive fetal movement and an ultrasound at 30 weeks of gestation revealed tonic clonic movements of the fetal trunk and extremities. At 36 weeks of gestation, an emergency repeat Cesarean section was performed because of a premature rupture of the membranes and a male infant weighing 4,295 gm was delivered. After birth, the infant continued to have movements suggestive of a generalized tonic clonic seizure. Brain computed tomography and magnetic resonance imaging revealed normal structures and an electroencephalography showed generalized suppression. Treatment with phenobarbital resulted in substantial improvement in the number of seizure episodes, however fine seizure-like movement continued in both of the hands, feet and in the tongue until the five-month follow-up. This is the first Korean report of a fetal seizure being diagnosed during the prenatal period.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Fenobarbital / Diagnóstico Pré-Natal / Convulsões / Imageamento por Ressonância Magnética / Tomografia Computadorizada por Raios X / Ultrassonografia Pré-Natal / Doenças Fetais / Cariotipagem Tipo de estudo: Estudo diagnóstico Limite: Feminino / Humanos / Masculino / Recém-Nascido / Gravidez Idioma: Inglês Revista: Journal of Korean Medical Science Ano de publicação: 2008 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Fenobarbital / Diagnóstico Pré-Natal / Convulsões / Imageamento por Ressonância Magnética / Tomografia Computadorizada por Raios X / Ultrassonografia Pré-Natal / Doenças Fetais / Cariotipagem Tipo de estudo: Estudo diagnóstico Limite: Feminino / Humanos / Masculino / Recém-Nascido / Gravidez Idioma: Inglês Revista: Journal of Korean Medical Science Ano de publicação: 2008 Tipo de documento: Artigo