1/19. Funic presentation as a complication of external cephalic version. A case report.BACKGROUND: breech presentation is associated with increased risk. External cephalic version (ECV) has been successful in decreasing the incidence of intrapartum breech presentation. CASE: Funic presentation occurred as a complication of successful ECV. CONCLUSION: The wide-spread use of version calls for increased surveillance for adverse sequelae. At the completion of ECV, ultrasound analysis, pelvic examination and fetal heart rate monitoring are appropriate to exclude serious cord complications.- - - - - - - - - - ranking = 1keywords = cord (Clic here for more details about this article) |
2/19. nuchal cord position in breech presentation: case report.nuchal cord position in breech presentation has been previously reported and classified into two types. We report a case of breech presentation with nuchal cord. Prenatal ultrasound showed a single nuchal cord inserted into the placenta located on the mid-posterior uterine wall at the level of the fetal neck. Elective cesarean section was performed at 37 weeks. We discuss the clinical significance of nuchat cord.- - - - - - - - - - ranking = 69066.463174008keywords = nuchal cord, cord (Clic here for more details about this article) |
3/19. Case report: injury of the spinal cord at birth.Spinal cord injury may occur as a severe complication to delivery. In the vast majority of such cases the injury results from a traumatic breech delivery, but cases of injuries after cephalic presentation and fetal malposition have also been described. Two cases were reported. One of the infants died at the age of 8 months and neuropathological examination of the brain and spinal cord was performed. The other child, now 6 years old, is still alive. incidence, mechanism of injury, clinical and morphological features, and treatment are briefly discussed.- - - - - - - - - - ranking = 6keywords = cord (Clic here for more details about this article) |
4/19. Persistent hyperextension of the neck in breech ("star-gazing fetus") and in transverse lie ("flying-fetus"): indication for cesarean section.All pregnancies with a breech or transverse lie should be examined roentgenologically, at least after the onset of labor, and those in whom hyperextension of the neck persists should be sectioned to avoid the real danger of injury to the cervical cord incurred in vaginal delivery. The radiologist should not assume a seriously deformed fetus just from the hyperextension; most of these fetuses are otherwise normal.- - - - - - - - - - ranking = 1keywords = cord (Clic here for more details about this article) |
5/19. Hyperextension of the fetal head in breech presentation: radiological evaluation and significance.Damage of the cervical cord is not rare in breech delivery with hyperextension of the fetal head. Among 57 cases from the literature and one of ours in which the angle of extension could be measured on X-ray films, 20 had an extension angle greater than 90 degrees. Of these, 11 were delivered vaginally and included 8 cases of damage to the cervical cord. It is recommended that elective Caesarean section be performed when the angle of extension exceeds 90 degrees.- - - - - - - - - - ranking = 2keywords = cord (Clic here for more details about this article) |
6/19. Fetal spinal-cord injury secondary to hyperextension of the neck: no effect of caesarean section.A 24-month-old Japanese girl is reported who had upper spinal-cord injury secondary to fetal hyperextension of the neck in breech presentation. She was first noted to be in this position 10 days before the expected date of birth and was delivered by caesarean section.- - - - - - - - - - ranking = 5keywords = cord (Clic here for more details about this article) |
7/19. Double nuchal umbilical cord and breech presentation. The value of close follow-up.We report the management of a fetus with breech presentation and double nuchal cord in a mother desiring external cephalic version (ECV). The patient was a 26-year-old woman, gravida 1, para 0, with an unremarkable prenatal course, who was found to have a breech presentation at 34 weeks 1 day. She consented for external cephalic version (ECV) and upon evaluation at 36 weeks 2 days, the fetus was found to have double nuchal coils of the umbilical cord. ECV was not attempted. Subsequent fetal surveillance consisted of fetal movement counts, non-stress tests and Doppler ultrasound of the umbilical artery. At 38 weeks 1 day, ultrasound revealed absence of the nuchal coils. ECV was attempted and was successful. The fetus maintained the cephalic presentation and the patient delivered uneventfully. This case report illustrates the value of follow-up ultrasound in a patient who desires an ECV and for whom such a procedure was declined due to the presence of double nuchal coils. Cesarean delivery was successfully avoided.- - - - - - - - - - ranking = 34535.231587004keywords = nuchal cord, cord (Clic here for more details about this article) |
8/19. Traumatic cervical syringomyelia related to birth injury.A rare case of cervical syringomyelia related to breech delivery is reported. The initial diagnosis was bilateral brachial plexus palsy due to birth injury, which was revealed by magnetic resonance imaging (MRI) to be traumatic syringomyelia. The usefulness of MRI in the early diagnosis of cervical cord birth injury, especially in differentiating between brachial plexus palsy due to birth injury and spinal cord trauma due to birth injury in infancy, is emphasized.- - - - - - - - - - ranking = 2keywords = cord (Clic here for more details about this article) |
9/19. Cervical cord birth injury and subsequent development of syringomyelia: a case report.A 2830 g full-term baby, born by breech delivery, exhibited weak crying and sucking and severe hypotonia of the extremities after birth. magnetic resonance imaging (MRI) showed marked thinning of the cervical cord at the level of C4 and C5. This lesion evolved into focal syringomyelia by the fourth month after birth. In this patient, MRI was useful in detecting the initial spinal cord injury, which appeared as marked thinning, and the subsequent syringomyelia as well. The role of birth trauma in cervical spinal cord injuries is discussed.- - - - - - - - - - ranking = 7keywords = cord (Clic here for more details about this article) |
10/19. The association of hypopituitarism with small pituitary, invisible pituitary stalk, type 1 arnold-chiari malformation, and syringomyelia in seven patients born in breech position: a further proof of birth injury theory on the pathogenesis of "idiopathic hypopituitarism".We report seven cases of hypopituitarism all having a history of breech delivery, asphyxia at birth, and syringomyelia. A small pituitary gland was found on MRI or CT in six cases, invisible pituitary stalk on MRI in five cases, and type 1 arnold-chiari malformation in six cases. A constellation of these abnormalities are best explained by traction of brain and spinal cord of the subjects exerted during breech delivery and further support the primary role of birth trauma in the genesis of "idiopathic hypopituitarism".- - - - - - - - - - ranking = 1keywords = cord (Clic here for more details about this article) |
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