Journal List > Perinatology > v.29(4) > 1111081

Lee, Lee, Yi, Yun, Chae, Lim, and Kim: Prenatally Diagnosed and Surviving Patient with Jarcho-Levin Syndrome: Case Report with Literature Review

Abstract

Jarcho-Levin syndrome is a congenital disorder characterized by several vertebral and costal anomalies. Other abnormalities have also been described, including neural tube defects, Arnold-Chiari malformation, renal/urinary tract abnormalities, hydrocephalus, hydroureteronephrosis, and meningomyelocele. We describe a spondylocostal dysplasia form of Jarcho-Levin syndrome that was prenatally diagnosed at 11 weeks of gestation and surviving. Although the patient had sporadic-type Jarcho-Levin syndrome, with normal karyotype and no family history of disease, the assessment of inheritance patterns and genetic counseling for the parents was important to inform them about the potential risks.

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Fig. 1
Three-dimensional posterior image of the affected fetus at 14 weeks of gestation. (A) Kyphoscoliosis of the spine. (B) Absence of the T10 and T11 ribs in the left lateral thoracic cage.
pn-29-185f1.tif
Fig. 2
Gross and computed tomography (CT) images of the infant. (A) The infant has a short neck, accessory nipples, and abnormal rib cage on the left side. (B) Three-dimensional spinal CT shows left T1, T2, and T10 hemivertebrae and a fusion anomaly in T6 and T7, with lateral wedging and scoliosis of the thoracic spine with convexity to the right. (C) Chest anteroposterior image shows dextrocardia and abnormal rib cage on the left side.
pn-29-185f2.tif
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