Fetal spine Flashcards

1
Q

3 ossification centers for the spine

A

midline anterior
2 posterior

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2
Q

2 normal curves in the spine

A

lordotic
kyphotic

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3
Q

when should the spine be evaluated by

A

18-20 weeks

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4
Q

where does the spine taper

A

sacrococcygeal area

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5
Q

spina bifida common cause

A

failure of dorsal vertebrae tube to close at day 25

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6
Q

most common type of spina bifida

A

spina bifida aperta

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7
Q

Spina Bifida Aperta Sono Findings

A

 Splayed vertebral elements
 Hydrocephalus often present
 Frontal bone scalloping (lemon sign)
 Deformed cerebellum with obliterated CM
 Chiari II Malformation

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8
Q

Spina Bifida Aperta differentials

A

 Sacrococcygeal teratoma  Lipomeningocele

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9
Q

what is chiari 2 malformation

A

abnormal appearane of the posterior fossa

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9
Q

what is chiari 2 malformation

A

abnormal appearane of the posterior fossa

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10
Q

what causes chirari symptoms

A
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11
Q

what causes chirari symptoms

A
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12
Q

what is chiari 2 malformation always associated w/

A

spinal myelomeningocele or myelocele

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13
Q

Spina Bifida Cranial Signs

A

 Ventriculomegaly
 Lemon sign
 Banana Sign
 Non-vis, of cisterna magna

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14
Q

what is the lemon sign

A

flattening of frontal calvarium

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15
Q

when is the lemon sign. seen

A

before 24 weeks

16
Q

what is the lemon sign associated w/

A

ventriculomegaly
spinal myelomeningocele

17
Q

what can cause an elevated AFP

A

multiple fetus
fetal death
open defects

18
Q

Sacrococcygeal Teratoma on sono

A

solid or mixed
cystic
calcifications

19
Q

sacral agenesis may be present with

A

caudal regression
sirenomelia sequence
vacteral

20
Q

what is caudal regression syndrome

A

spectrum of sctructual defects in caudal region
vary from partial agenesis of the coccyx to lumboscral agensis

21
Q

caudal regression on sono

A
22
Q

what is Sirenomelia Sequence (Mermaid Syndrome

A

fused lower extremities
single umbilical artery
GI/GU malformations