Prader-Willi syndrome: is there a recognizable fetal phenotype?

Abstract:

OBJECTIVES:To determine fetal features, which could lead to the diagnosis of Prader-Willi syndrome (PWS) during pregnancy. METHODS:We analyze the ultrasound features, genetic studies and pathologic findings in two cases of PWS diagnosed during pregnancy. RESULTS:In the first case, diminished fetal movement, polyhydramnios and oddly positioned hands and feet suggested PWS. Methylation studies confirmed diagnosis and a deletion was detected in the 15q11-q13 region. In the second case, similar ultrasound findings led to prenatal diagnosis of PWS with an abnormal methylation pattern compatible with uniparental disomy. Both fetuses had a characteristic appearance at 28 and 30 weeks' gestation, which included a peculiar position of hands with flexed wrists and dorsi-extended feet with flexed toes. CONCLUSIONS:The peculiar position of the extremities combined with diminished fetal movement and polyhydramnios seems to be characteristic and should suggest PWS.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Bigi N,Faure JM,Coubes C,Puechberty J,Lefort G,Sarda P,Blanchet P

doi

10.1002/pd.1973

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

796-9

issue

9

eissn

0197-3851

issn

1097-0223

journal_volume

28

pub_type

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