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- Title
Severe Brain Damage from Twin-Twin Transfusion Syndrome Treated with Serial Amnioreductions after 26 Weeks: A Case to Reconsider the Gestational Age Limits of Laser Therapy.
- Authors
Fichera, A.; Ambrosi, C.; Taddei, F.; Gasparotti, R.; Frusca, T.
- Abstract
We report a case of monochorionic twin pregnancy complicated by twin-twin transfusion syndrome (TTTS) diagnosed in the late second trimester and treated with two amnioreductions. Three days after the first amniodrainage, the recipient twin developed intracranial ventriculomegaly and, similarly, after a few days, the donor showed signs of brain damage at MRI. We discuss the possible mechanism of brain damage of amnioreductions performed after 26 weeks of gestation in a monochorionic pregnancy with TTTS as a result of a placental ‘steal’ phenomenon. Copyright © 2009 S. Karger AG, Basel
- Subjects
TWINS; PREGNANCY complications; SECOND trimester of pregnancy; BRAIN damage; BRAIN injuries; PLACENTA
- Publication
Fetal Diagnosis & Therapy, 2009, Vol 25, Issue 2, p203
- ISSN
1015-3837
- Publication type
Article
- DOI
10.1159/000212593