EURORAD ESR

Case 13516

Prenatal diagnosis of pfeiffer syndrome type II using ultralow dose CT

Author(s)
Masaki Sekiguchi, Osamu Miyazaki, Seiji Wada, Shunsuke Nosaka and Haruhiko Sago

National Center for Child Health and Development,
2-10-1 Okura, Setagaya-ku,
1578535 Tokyo, Japan;
Email:sekiguchi-ms@ncchd.go.jp
 
Patient
female, 38 year(s)
 
 
  • Figure 1
    Magnetic resonance imaging of the fetal head

    Magnetic resonance imaging (half-Fourier acquisition single-shot turbo spin-echo) of the fetal head at 31 3/7 weeks of gestation. Coronal image shows a cloverleaf skull with temporal protrusion (arrows) and mild...

     
    Area of Interest: Foetal imaging; Imaging Technique: MR; Procedure: Intrauterine diagnosis; Special Focus: Fetus;
     
     
  • Figure 2
    Magnetic resonance imaging of the fetal head

    Sagittal image shows proptosis (arrowhead) and mild ventriculomegaly (asterisk).

     
    Area of Interest: Foetal imaging; Imaging Technique: MR; Procedure: Intrauterine diagnosis; Special Focus: Fetus;
     
     
  • Figure 3
    Three-dimensional computed tomography of the fetus

    Three-dimensional computed tomography of the fetus at 32 3/7 weeks of gestation. Volume rendering of full skeletal image shows craniosynostosis, the large distal phalanx (arrowhead) of the left great toe, and...

     
    Area of Interest: Foetal imaging; Imaging Technique: CT; Procedure: Intrauterine diagnosis; Special Focus: Fetus;
     
     
  • Figure 4
    Three-dimensional computed tomography of the fetus

    Maximum intensity projection of the left upper extremity shows radio-ulnar-humeral synostosis (arrow).

     
    Area of Interest: Foetal imaging; Imaging Technique: CT; Procedure: Intrauterine diagnosis; Special Focus: Fetus;
     
     
  • Figure 5
    Three-dimensional computed tomography of the fetus

    Maximum intensity projection image of the right foot also shows large distal phalanges (arrowhead) of the great toe and triangular hypoplastic first proximal phalanx (arrow), as well as volume rendering.

     
    Area of Interest: Foetal imaging; Imaging Technique: CT; Procedure: Intrauterine diagnosis; Special Focus: Fetus;
     
     
  • Figure 6
    Plain radiographs of the skeletal survey

    Anterior−posterior view of the head shows a cloverleaf skull.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 7
    Plain radiographs of the skeletal survey

    Plain radiographs of the right upper extremity shows radio-ulnar-humeral synostosis (arrow).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 8
    Plain radiographs of the skeletal survey

    Plain radiograph of the feet shows broad great toes (arrowheads) and triangular hypoplastic first proximal phalanges (arrows) as well as fetal computed tomography images.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Magnetic resonance imaging (half-Fourier acquisition single-shot turbo spin-echo) of the fetal head at 31 3/7 weeks of gestation. Coronal image shows a cloverleaf skull with temporal protrusion (arrows) and mild ventriculomegaly (asterisk).
 
Sagittal image shows proptosis (arrowhead) and mild ventriculomegaly (asterisk).
 
Three-dimensional computed tomography of the fetus at 32 3/7 weeks of gestation. Volume rendering of full skeletal image shows craniosynostosis, the large distal phalanx (arrowhead) of the left great toe, and bilateral radio-ulnar-humeral synostoses (arrows).
 
Maximum intensity projection of the left upper extremity shows radio-ulnar-humeral synostosis (arrow).
 
Maximum intensity projection image of the right foot also shows large distal phalanges (arrowhead) of the great toe and triangular hypoplastic first proximal phalanx (arrow), as well as volume rendering.
 
Anterior−posterior view of the head shows a cloverleaf skull.
 
Plain radiographs of the right upper extremity shows radio-ulnar-humeral synostosis (arrow).
 
Plain radiograph of the feet shows broad great toes (arrowheads) and triangular hypoplastic first proximal phalanges (arrows) as well as fetal computed tomography images.
 
 
 
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