자궁내 사망 무뇌아에 의한 생존 쌍태아의 뇌손상
- Author(s)
- 배기수; 이정호; 최상림; 김형식; 황희성; 장세진; Ki Soo Pai; Jung Ho Rhee; Sang Lim Choi; Hyung Sik Kim; Hee Sung Hwang; Se Jin Jang
- Keimyung Author(s)
- Rhee, Jeong Ho
- Department
- Dept. of Obstetrics & Gynecology (산부인과학)
- Journal Title
- 대한신생아학회지
- Issued Date
- 1994
- Volume
- 1
- Issue
- 1
- Abstract
- A case of brain damage in the surviving monozygotic twin after intrauterine death of co-twin is reported. The infant showed extensive encephalomalatic change at birth due to anencephalic intrauterine death of co-twin between 32nd and 34th week of gestation. The etiology is thought to be placental transfer of embolism or thromboplastic material through the vascular shunts. The common circulation between the dead and live twin may produce cerebral, renal, and cutaneous lesions in the live fetus, with little discernible diseases in mother. Careful obstertric and pediatric managements are required in following-up with monozygotic twin pregnancy. A brief review of related literature is presented.
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