Placento-Cranial Adhesions in Amniotic Band Syndrome and the Role of Surgery in Their Management: An Unusual Case Presentation and Systematic Literature Review

Menekşe, Güner; Mert, Mustafa Kurthan; Olmaz, Burak; Çelik, Tamer; Çelik, Ümit; Ökten, Ali İhsan

doi:10.1159/000433603

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…It affects both genders in the same proportion. Clinically it may present as a minor digital abnormality or limb malformation, with syndactyly or clubfoot, but also as autoamputation and catastrophic craniofacial deformities [8, 9]. Importantly, often times are incompatible with life, as in our case here reported.…”

Section: Discussionmentioning

confidence: 77%

The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence”

Pantoja

Estevez

Pessôa

et al. 2017

Case Reports in Anesthesiology

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Reports focusing on biomedical principlism and the role of anaesthesiologists in palliative care are rare. We present the case of a newborn with multiple craniofacial anomalies and a diagnosis of ADAM “sequence,” in which surgical removal of placental adhesions to the dura mater and the correction of meningocele was not indicated due to the very short life expectancy. After 48 hours, the odor from the placenta indicted a necrotic process, which prevented the parents from being close to the child and increased his isolation. Urgent surgery was performed, after which the newborn was transported to the ICU and intubated under controlled mechanical ventilation. The patient died a week later. The principles of beneficence, nonmaleficence, justice, and respect for autonomy are simultaneously an inspiratory and regulatory framework for clinical practice. Although only necessary procedures are defended, which suggests a position contrary to invasive interventions at the end of life, sometimes they are the best palliative measures that can be taken in cases like the one described here.

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Section: Discussionmentioning

confidence: 77%

The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence”

Pantoja

Estevez

Pessôa

et al. 2017

Case Reports in Anesthesiology

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“…These treatment modalities have been successfully applied owing to their multidisciplinary nature. [18][19][20][21] Such a multidisciplinary approach is particularly necessary for the management of anencephalic cases that can reach the delivery stage and are born alive. Neurosurgeons, neuroradiologists, plastic surgeons, neonatologists, and neuropediatric anesthetists collaborate and play important roles in the management of this process.…”

Section: Problems With Treatment For Anencephalymentioning

confidence: 99%

First report of surgery for anencephaly in twin pregnancies: Technical notes and postoperative management

Menekşe¹,

Kahvecioglu

Aksoy

et al. 2023

Medicine

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Anencephaly, the most severe form of neural tube defect, has no known cure, and in most cases, patients die before or shortly after birth. To date, no surgical intervention has been reported in the management of anencephaly. This study presents a case of dichorionic-diamniotic twin pregnancy in which 1 twin was anencephalic and describes the surgical management of this complex case. We aimed to share the problems experienced during the follow up of a patient who survived for a long time after surgery. We also aimed to highlight several clinical issues, including the challenges of managing anencephaly in twin pregnancies, problems experienced during the follow up process in our case, diagnosis of brain death in anencephaly cases, and ethical dilemmas related to organ donation. This case is notable because of the challenging nature of the surgical procedure and complexity of postoperative care. By highlighting the difficulties encountered during the follow up period, we hope to provide insights to health professionals that can inform the management of similar cases in the future.

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“…Craniofacial defects have been reported in approximately one-third of cases of amniotic bands. 10,11 These defects include encephalocele, anencephaly, asymmetric microphthalmia, severe nasal deformity, facial clefting, and incomplete cranial calcifications. The resulting malformation does not follow any specific pattern, and the ensuing anomalies are nonembryologic.…”

Section: Differential Diagnosismentioning

confidence: 99%

Posterior Encephalocele

Monteagudo¹

2020

American Journal of Obstetrics and Gynecology

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Placento-Cranial Adhesions in Amniotic Band Syndrome and the Role of Surgery in Their Management: An Unusual Case Presentation and Systematic Literature Review

Cited by 6 publications

References 16 publications

The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence”

The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence”

First report of surgery for anencephaly in twin pregnancies: Technical notes and postoperative management

Posterior Encephalocele

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