The majority of patients with epilepsy maintain seizure control during pregnancy. The apparently higher risk of seizures among women treated with oxcarbazepine and the more frequent increases in drug load in the oxcarbazepine and lamotrigine cohorts prompts further studies on relationships with pharmacokinetic changes. Risks associated with status epilepticus appear to be lower than previously reported.
GBS screening plus IAP is effective in decreasing the incidence of GBS EOS; however, an increase in EOS caused by E coli was noted. Monitoring of pathogens causing EOS is important for effective treatment.
We describe the prenatal sonographic findings in 2 cases of amniotic band sequence-related acrania. In the first case, sonography demonstrated acrania, asymmetric facial clefts, and digital fusion on the hands and feet. In the second case, sonography demonstrated acrania and amniotic bands adhering to the brain, face, and body. This report highlights the importance of a careful search for amniotic bands and a detailed survey of the fetus' face, digits, and body in the sonographic evaluation of fetal acrania.
The cri-du-chat syndrome can be identified prenatally because of advanced maternal age, familial cri-du-chat syndrome, parental balanced translocations involving chromosome 5, sonographically detected fetal structural abnormalities, and/or an abnormal maternal serum test. Fetuses with the mosaic distal 5p deletion may be associated with the sonographic findings of microcephaly and cerebellar hypoplasia, and fetoplacental and fetoamnionic chromosomal discrepancies.
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