Acral necrosis and upper brachial plexus palsy after prenatal fetal thrombosis
Intrauterine fetal thrombosis is an extremely rare event with a devastating outcome. The etiology of the condition often remains unclear. A 29-year-old 2 gravida 1 para presented with mild preeclampsia at 34 weeks of gestation with pathological cardiotocography (CTG), but normal resistance indices i...
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| Veröffentlicht in: | Case reports in perinatal medicine 2015-09, Vol.4 (2), p.137-139 |
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| creator | Dröge, Lisa Antonia Römer, Susanne Berns, Monika Bührer, Christoph Verlohren, Stefan Henrich, Wolfgang |
| description | Intrauterine fetal thrombosis is an extremely rare event with a devastating outcome. The etiology of the condition often remains unclear. A 29-year-old 2
gravida 1
para presented with mild preeclampsia at 34 weeks of gestation with pathological cardiotocography (CTG), but normal resistance indices in the umbilical and the uterine arteries. The fetal middle cerebral artery (MCA) displayed a significantly reduced pulsatility index (PI). An immediate cesarean section was performed and a male neonate with a birth weight of 2300 g was delivered. Immediately after birth, a progressive necrosis of the neonate’s 4
right final finger link and a palsy of the right brachial plexus were observed. MRI and ultrasound imaging did not display mechanical injuries. The Doppler ultrasound showed a thrombus in the right common carotid and subclavian artery with poststenotic decreased blood flow of the right middle cerebral artery. Further analysis did not reveal inherited or acquired thrombophilias of the neonate. The puzzling prenatal finding of a markedly decreased PI in the MCA as well as the initially suspected postnatal diagnosis of traumatic plexus injury were clarified by the diagnosis of the thrombosis. |
| doi_str_mv | 10.1515/crpm-2015-0025 |
| format | Article |
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gravida 1
para presented with mild preeclampsia at 34 weeks of gestation with pathological cardiotocography (CTG), but normal resistance indices in the umbilical and the uterine arteries. The fetal middle cerebral artery (MCA) displayed a significantly reduced pulsatility index (PI). An immediate cesarean section was performed and a male neonate with a birth weight of 2300 g was delivered. Immediately after birth, a progressive necrosis of the neonate’s 4
right final finger link and a palsy of the right brachial plexus were observed. MRI and ultrasound imaging did not display mechanical injuries. The Doppler ultrasound showed a thrombus in the right common carotid and subclavian artery with poststenotic decreased blood flow of the right middle cerebral artery. Further analysis did not reveal inherited or acquired thrombophilias of the neonate. The puzzling prenatal finding of a markedly decreased PI in the MCA as well as the initially suspected postnatal diagnosis of traumatic plexus injury were clarified by the diagnosis of the thrombosis.</description><identifier>ISSN: 2192-8932</identifier><identifier>EISSN: 2192-8959</identifier><identifier>DOI: 10.1515/crpm-2015-0025</identifier><language>eng</language><publisher>Berlin: De Gruyter</publisher><subject>Brachial plexus ; Case reports ; Doppler ultrasound ; fetal plexus injuries ; intrauterine gangrene ; Medical diagnosis ; middle cerebral artery (MCA) ; Necrosis ; plexus palsy ; Preeclampsia ; prenatal diagnosis ; prenatal thrombosis ; Thrombosis ; Ultrasonic imaging ; upper limb ischemia ; Veins & arteries</subject><ispartof>Case reports in perinatal medicine, 2015-09, Vol.4 (2), p.137-139</ispartof><rights>Copyright Walter de Gruyter GmbH 2015</rights><rights>2015 by De Gruyter</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c232t-97dac76a13913942d8a9af7298ab18b3927c8c38c8ccca5323f7232e9d06c8a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.degruyter.com/document/doi/10.1515/crpm-2015-0025/pdf$$EPDF$$P50$$Gwalterdegruyter$$H</linktopdf><linktohtml>$$Uhttps://www.degruyter.com/document/doi/10.1515/crpm-2015-0025/html$$EHTML$$P50$$Gwalterdegruyter$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,66904,68688</link.rule.ids></links><search><creatorcontrib>Dröge, Lisa Antonia</creatorcontrib><creatorcontrib>Römer, Susanne</creatorcontrib><creatorcontrib>Berns, Monika</creatorcontrib><creatorcontrib>Bührer, Christoph</creatorcontrib><creatorcontrib>Verlohren, Stefan</creatorcontrib><creatorcontrib>Henrich, Wolfgang</creatorcontrib><title>Acral necrosis and upper brachial plexus palsy after prenatal fetal thrombosis</title><title>Case reports in perinatal medicine</title><description>Intrauterine fetal thrombosis is an extremely rare event with a devastating outcome. The etiology of the condition often remains unclear. A 29-year-old 2
gravida 1
para presented with mild preeclampsia at 34 weeks of gestation with pathological cardiotocography (CTG), but normal resistance indices in the umbilical and the uterine arteries. The fetal middle cerebral artery (MCA) displayed a significantly reduced pulsatility index (PI). An immediate cesarean section was performed and a male neonate with a birth weight of 2300 g was delivered. Immediately after birth, a progressive necrosis of the neonate’s 4
right final finger link and a palsy of the right brachial plexus were observed. MRI and ultrasound imaging did not display mechanical injuries. The Doppler ultrasound showed a thrombus in the right common carotid and subclavian artery with poststenotic decreased blood flow of the right middle cerebral artery. Further analysis did not reveal inherited or acquired thrombophilias of the neonate. The puzzling prenatal finding of a markedly decreased PI in the MCA as well as the initially suspected postnatal diagnosis of traumatic plexus injury were clarified by the diagnosis of the thrombosis.</description><subject>Brachial plexus</subject><subject>Case reports</subject><subject>Doppler ultrasound</subject><subject>fetal plexus injuries</subject><subject>intrauterine gangrene</subject><subject>Medical diagnosis</subject><subject>middle cerebral artery (MCA)</subject><subject>Necrosis</subject><subject>plexus palsy</subject><subject>Preeclampsia</subject><subject>prenatal diagnosis</subject><subject>prenatal thrombosis</subject><subject>Thrombosis</subject><subject>Ultrasonic imaging</subject><subject>upper limb ischemia</subject><subject>Veins & arteries</subject><issn>2192-8932</issn><issn>2192-8959</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMtLxDAQxoMouKx79Vzw3DWPbZvgaVl8waIXPYdpmrpd-ohJi-5_74QV8SCGMDPkm2-G_Ai5ZHTJMpZdG--6lFOWpZTy7ITMOFM8lSpTpz-14OdkEcKe4pFyha8z8rQ2Htqkt8YPoQkJ9FUyOWd9UnowuwY119rPKSQO2nBIoB5Rc972MKJW2xjHnR-6MvovyFmNfXbxnefk9e72ZfOQbp_vHzfrbWq44GOqigpMkQMTCu-KVxIU1AVXEkomS6F4YaQREoMxkAkuUBTcqormRkIu5uTqONf54X2yYdT7YfI9rtQ8X0nGBMP__tPFCqmowvVx1vLYFREEb2vtfNOBP2hGdYSrI1wd4eoIFw03R8MHtEijsm9-OmDxa_qfRiQuCvEFXoyABg</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Dröge, Lisa Antonia</creator><creator>Römer, Susanne</creator><creator>Berns, Monika</creator><creator>Bührer, Christoph</creator><creator>Verlohren, Stefan</creator><creator>Henrich, Wolfgang</creator><general>De Gruyter</general><general>Walter de Gruyter GmbH</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20150901</creationdate><title>Acral necrosis and upper brachial plexus palsy after prenatal fetal thrombosis</title><author>Dröge, Lisa Antonia ; Römer, Susanne ; Berns, Monika ; Bührer, Christoph ; Verlohren, Stefan ; Henrich, Wolfgang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c232t-97dac76a13913942d8a9af7298ab18b3927c8c38c8ccca5323f7232e9d06c8a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Brachial plexus</topic><topic>Case reports</topic><topic>Doppler ultrasound</topic><topic>fetal plexus injuries</topic><topic>intrauterine gangrene</topic><topic>Medical diagnosis</topic><topic>middle cerebral artery (MCA)</topic><topic>Necrosis</topic><topic>plexus palsy</topic><topic>Preeclampsia</topic><topic>prenatal diagnosis</topic><topic>prenatal thrombosis</topic><topic>Thrombosis</topic><topic>Ultrasonic imaging</topic><topic>upper limb ischemia</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dröge, Lisa Antonia</creatorcontrib><creatorcontrib>Römer, Susanne</creatorcontrib><creatorcontrib>Berns, Monika</creatorcontrib><creatorcontrib>Bührer, Christoph</creatorcontrib><creatorcontrib>Verlohren, Stefan</creatorcontrib><creatorcontrib>Henrich, Wolfgang</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Case reports in perinatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dröge, Lisa Antonia</au><au>Römer, Susanne</au><au>Berns, Monika</au><au>Bührer, Christoph</au><au>Verlohren, Stefan</au><au>Henrich, Wolfgang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acral necrosis and upper brachial plexus palsy after prenatal fetal thrombosis</atitle><jtitle>Case reports in perinatal medicine</jtitle><date>2015-09-01</date><risdate>2015</risdate><volume>4</volume><issue>2</issue><spage>137</spage><epage>139</epage><pages>137-139</pages><issn>2192-8932</issn><eissn>2192-8959</eissn><abstract>Intrauterine fetal thrombosis is an extremely rare event with a devastating outcome. The etiology of the condition often remains unclear. A 29-year-old 2
gravida 1
para presented with mild preeclampsia at 34 weeks of gestation with pathological cardiotocography (CTG), but normal resistance indices in the umbilical and the uterine arteries. The fetal middle cerebral artery (MCA) displayed a significantly reduced pulsatility index (PI). An immediate cesarean section was performed and a male neonate with a birth weight of 2300 g was delivered. Immediately after birth, a progressive necrosis of the neonate’s 4
right final finger link and a palsy of the right brachial plexus were observed. MRI and ultrasound imaging did not display mechanical injuries. The Doppler ultrasound showed a thrombus in the right common carotid and subclavian artery with poststenotic decreased blood flow of the right middle cerebral artery. Further analysis did not reveal inherited or acquired thrombophilias of the neonate. The puzzling prenatal finding of a markedly decreased PI in the MCA as well as the initially suspected postnatal diagnosis of traumatic plexus injury were clarified by the diagnosis of the thrombosis.</abstract><cop>Berlin</cop><pub>De Gruyter</pub><doi>10.1515/crpm-2015-0025</doi><tpages>3</tpages></addata></record> |
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| subjects | Brachial plexus Case reports Doppler ultrasound fetal plexus injuries intrauterine gangrene Medical diagnosis middle cerebral artery (MCA) Necrosis plexus palsy Preeclampsia prenatal diagnosis prenatal thrombosis Thrombosis Ultrasonic imaging upper limb ischemia Veins & arteries |
| title | Acral necrosis and upper brachial plexus palsy after prenatal fetal thrombosis |
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