Prenatal diagnosis of Emanuel syndrome - case series and review of the literature.

We present three new cases and review of the literature on the prenatal diagnosis of Emanuel syndrome (ES). Twenty-one foetuses have been analysed. In all three cases diagnosed in our department, posterior fossa abnormalities were seen and in one hypoplastic right ventricle was diagnosed at the first trimester scan. Defects of the posterior fossa (62% of foetuses; 13/21) and left diaphragmatic hernia (29% of foetuses; 6/21) are the most frequently reported prenatal findings in ES syndrome. No pattern of specific prenatal ultrasound markers of ES exists. Abnormalities of the posterior fossa are frequent and may be diagnosed as early as in the first trimester of pregnancy. Specific diagnosis can be made only after invasive genetic testing.IMPACT STATEMENTWhat is already known on this subject? Emanuel syndrome (ES) is a rare genetic disorder. No pattern of specific prenatal ultrasound markers exists. The great majority of cases is diagnosed postnatally and only a few cases of prenatal diagnosis have been published to date.What do the results of this study add? The most frequent structural abnormalities in prenatally detected ES involved central nervous system (80.9%), namely posterior fossa defects (57.1%) and mild ventriculomegaly (23.8%). Other frequent abnormalities include left diaphragmatic hernia (28.6%), renal defects (23.8%) and foetal growth restriction (FGR) (23.8%).What are the implications of these findings for clinical practice and/or further research? Abnormalities of the posterior fossa are the most frequent defects in ES and may be diagnosed as early as in the first trimester of pregnancy. Specific diagnosis can be made only after invasive genetic testing.

Collective rotations of ferroelectric liquid crystals at the air/water interface.

We study the Langmuir monolayers of four different ferroelectric liquid crystals on water surface. Two of them are attached to water surface by their polar groups, and the chiral groups, at the opposite ends of the elongated molecules, remain well above the interface. The other two ferroelectrics have both groups (polar and chiral) at close proximity, and therefore the chiral group is also attached to the surface or even submerged in water. We demonstrate that only when the chiral group of the ferroelectric liquid crystal in Langmuir monolayer is not attached to the interface and stays in the air does the system exhibit the collective rotations induced by evaporation of water (described for the first time by: Tabe, Y.; Yokoyama, H. Nat. Mater. 2003, 2, 806). The isotherms of surface pressure and surface potential versus molecular area of four compounds were measured with simultaneous observations using Brewster angle microscopy. Experimental data of the compression isotherms are described with a van der Waals model with very good accuracy, and the fitted parameters were used for calculations of compressibility coefficients for different phases found in the compounds under investigations. The ability of the two compounds for rotation and the disability of the two others is discussed in a context of thermodynamic properties of the monolayers.