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Clinical Case: A 28-Year-Old G1P0 with Mild Ventriculomegaly

Daskalakis G* and Fotinopoulos P
First Department of Obstetrics and Gynecology, Athens Medical School, Alexandra Hospital, Athens, Greece


*Corresponding author: Daskalakis G, First Department of Obstetrics and Gynecology, Athens Medical School, Alexandra Hospital, 8 I. Metaxa Street, 15236, P. Penteli, Athens, Greece


Published: 08 Jul, 2017
Cite this article as: Daskalakis G, Fotinopoulos P. Clinical Case: A 28-Year-Old G1P0 with Mild Ventriculomegaly. Ann Med Case Rep. 2017; 1: 1007.

Clinical Image

We present the case of a 28-year-old woman in her first pregnancy. First trimester ultrasound screening for aneuploidies (NT, β-hCG and PAPP-A) was negative. Second trimester ultrasound scan revealed a mild ventriculomegaly (posterior horn of the lateral ventricle was 11 mm). She was referred to amniocentesis for chromosomal analysis. The latter showed a lack of a region in the long arm of the chromosome 4 (46, XY, del (4) (q35 → qter) (Figure 1), where according to UCSC genome browser the genes for FAT 1 (FAT atypical cadherin 1) [1,2], TLR3 (toll-like receptor 3) [3]. CASP3 (cysteine-aspartic acid protease 3, caspase 3) [4], F11 (coagulation factor XI) [5,6], UFSP2 (ubiquitinfold modifier 1 specific peptidase 2) [7], KLKB1 (kallikrein B1) [8] and CYP4V2 (cytochrome P450 family 4 subfamily V member 2) [9] have their loci [10]. After genetic counseling, parents underwent chromosomic analysis which revealed de Novo mutation. They decided to terminate the pregnancy in 24 weeks after informed consent. Histologic analysis revealed rocker bottom feet, camptodactyly, facial and truncalhirsutism, short neck, hypertelorism and macrocephaly.


Figure 1

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Figure 1
Chromosomal analysis of 28-year-old woman in her first pregnancy.

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