Marguerite B Vigliani1. 1. Department of Obstetrics and Gynecology, Women and Infants Hospital, Providence, Rhode Island, USA. Marguerite_Vigliani@brown.edu
Abstract
BACKGROUND: Luckenschadel skull is an ossification disorder in which the fetal skull appears fenestrated. It is almost always associated with Chiari II malformation and meningomyelocele. CASE: We report a case of fatal subgaleal hemorrhage occurring in a full-term infant with undiagnosed Chiari II malformation, meningomyelocele, and luckenschadel skull. A cesarean delivery was performed after attempted vacuum and forceps delivery for fetal distress. CONCLUSION: Obstetricians should be aware that fetuses with antenatal diagnosis of neural tube defects could have luckenschadel skull. Questions are raised concerning the possible clinical significance of this anomaly, especially in the context of a vacuum delivery.
BACKGROUND: Luckenschadel skull is an ossification disorder in which the fetal skull appears fenestrated. It is almost always associated with Chiari II malformation and meningomyelocele. CASE: We report a case of fatal subgaleal hemorrhage occurring in a full-term infant with undiagnosed Chiari II malformation, meningomyelocele, and luckenschadel skull. A cesarean delivery was performed after attempted vacuum and forceps delivery for fetal distress. CONCLUSION: Obstetricians should be aware that fetuses with antenatal diagnosis of neural tube defects could have luckenschadel skull. Questions are raised concerning the possible clinical significance of this anomaly, especially in the context of a vacuum delivery.
Authors: Emmanuel Kobina Mesi Edzie; Klenam Dzefi-Tettey; Philip Narteh Gorleku; Kwasi Agyen-Mensah; Henry Kusodzi; Frank Quarshie; Abdul Raman Asemah Journal: Clin Case Rep Date: 2021-07-23