Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy

Authors

  • Rafael Brás Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Helena Veloso Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Maria Moleiro Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Sofia Rodrigues Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Gonçalo Inocencio Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Céu Mota Pediatrics and Neonatology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Gabriela Soares Medical Genetics Department, Centro Hospitalar Universitário do Porto
  • Maria Céu Rodrigues Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
  • Jorge Braga Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v27.i4.13065

Keywords:

Amyoplasia, Arthrogryposis, Monochorionic, Twin

Abstract

Arthrogryposis multiplex congenita is a clinically and etiologically heterogeneous group of diseases characterized by presence of contractures involving at least two different body areas. It is observed in one in every 3000−5000 live births. A case of singleton arthrogryposis in a spontaneous monochorionic diamniotic twin pregnancy is reported. Diagnosis was established after morphological ultrasound. There were no further complications during pregnancy. After cesarean delivery, diagnosis of amyoplasia involving the four limbs was confirmed. Newborn is currently undergoing motor rehabilitation. The higher risk of singleton arthrogryposis in monochorionic twin pregnancies is documented and appears to be related with vascular changes early in the course of pregnancy. In amyoplasia, some degree of disability and dependency is expected, even with postnatal rehabilitation.

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Author Biographies

Maria Moleiro, Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto

Department of Obstetrics and Gynecology

Gonçalo Inocencio, Obstetrics and Gynecology Department, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto

Department of Obstetrics and Gynecology

Gabriela Soares, Medical Genetics Department, Centro Hospitalar Universitário do Porto

Department of Medical Genetics

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Published

2019-01-02

How to Cite

1.
Brás R, Veloso H, Moleiro M, Rodrigues S, Inocencio G, Mota C, Soares G, Rodrigues MC, Braga J. Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy. REVNEC [Internet]. 2019Jan.2 [cited 2024Jul.1];27(4):253-7. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/13065

Issue

Vol. 27 No. 4 (2018)

Section

Case Reports

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