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Etiology and Management of Monoamniotic Twin Discordant for Anencephaly

Published online by Cambridge University Press:  01 August 2014

A. Kriplani*
Affiliation:
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
N. Banerjee
Affiliation:
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
D. Takkar
Affiliation:
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
*
Department of Obstetrics & Gynaecology, AIIMS, New Delhi- 110029, India

Abstract

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A case of monoamniotic monochorionic (MAMC) female twins, with one twin being anencephalic, and the co-twin being normal, is reported. Twin to twin transfusion syndrome was also noted. The reasons for anencephaly in association with monozygotic (MZ) twinning are discussed. The management of such a case is presented.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1998

References

REFERENCES

1.Annan, B, Hutson, RC (1990): Double survival despite cord entwinement in monoamniotic twins. Case report. Br J Obstet Gynecol 97: 950951.Google Scholar
2.Baldwin, VJ (1994): The pathology of monochorionic monozygosity. In Baldwin, VJ (eds): “Pathology of multiple pregnancy”. Springer- Verlag New York199213.Google Scholar
3.Belfort, MA, Moise, KJ, Kirshon, B (1993): The use of color flow doppler ultrasonography to diagnose umbilical cord entwinement in monoamniotic twin gestation. Am J Obstet Gynecol 168: 601604.Google Scholar
4.Burn, J, Povey, S, Boyd, Y, Munro, EA, West, L, Happer, K, Thomas, D (1986): Duchenne muscular dystrophy in one of monozygotic twin girls. J Med Genet 23: 494500.Google Scholar
5.Carr, SR, Aronson, MP, Coustan, DR (1990): Survival rates of monoamniotic twins do not decrease after 30 weeks gestation. Am J Obstet Gynecol 163: 719722.Google Scholar
6.Evans, MI, Goldberg, JD, Dommergues, M, Wapher, RJ, Lynch, L, Dock, BS, Horenstein, J, Golbus, MS, Rodeck, CH, Dumez, Y, Holzgreve, W, Timor-Tritsch, H, Johnson, MP, Isada, NB, Monteagudo, A, Berkowitz, RL (1994): Efficacy of second trimester selective termination for fetal abnormalities: International collaborative experience among the world's largest centers. Am J Obstet Gynecol 171: 9094.Google Scholar
7.Finberg, HJ, Clewell, WH (1991): Definitive prenatal diagnosis of monoamniotic twins: swallowed amniotic contrast agent detected in both twins on sonographically selected CT images. J Ultrasound Med 10: 513516.Google Scholar
8.Hall, JG (1986): Neural tube defects, sex ratios, and X inactivation. Lancet ii: 13341335.Google Scholar
9.James, WH (1988):Anomalous X chromosome inactivation: the link between female zygote, monozygotic twinning, and neural tube defects? J Med Genet 25: 213216.Google Scholar
10.Kofinas, AD, Penry, M, Hatjis, CG (1991): Umblical vessel flow velocity waveforms in cord entanglement in a monoamniotic multiple gestation: a case report. J Reprod Med 36: 314.Google Scholar
11.Lavery, JP, Gadwood, KA (1990): Amniography for confirming the diagnosis of monoamniotic twinning: a case report. J Reprod Med 35: 911.Google ScholarPubMed
12.Loevy, HT, Miller, M, Rosenthal, IM (1985): Discordant monozygotic twins with trisomy 13. Acta Genet Med Gemellol 34: 185188.Google Scholar
13.Lumme, RH, Saarikoski, SV (1986): Monoamniotic twin pregnancy. Acta Genet Med Gemellol 35: 99105.Google ScholarPubMed
14.Mac Leod, FN, Mac Coy, DR (1981): Monoamniotic twins with an unusual cord complication. Case report. Br J Obstet Gynecol 88: 774775.CrossRefGoogle Scholar
15.Osathanondh, R, Driscoll, SG, Naftolin, F (1974): Discordant severe cranial defects in monozygous twins. Am J Obstet Gynecol 122: 301305.Google Scholar
16.Pessonier, A, Ko-Kivok-Yun, P, Fournie, A (1994): Grossesses gémellaires monochoriales monoamniotiques. Problèmes diagnostiques et risques évolutifs. J Gynecol Obstet Biol Reprod 23: 299302.Google Scholar
17.Rodis, JF, Vintzileos, AM, Campbell, WA (1987): Antenatal diagnosis and management of monoamniotic twins. Am J Obstet Gynecol 157: 12551257.CrossRefGoogle ScholarPubMed
18.Salerno, LJ (1959): Monoamniotic twinning: a survey of the American literature since 1935 with a report of four new cases. Obstet Gynecol 14: 205213.Google Scholar
19.Sutter, J, Arab, H, Manning, FA (1986): Monoamniotic twins: antenatal diagnosis and management. Am J Obstet Gynecol 155: 836837.Google Scholar
20.Tabsh, K (1990): Genetic amniocentesis in multiple gestation: a new technique to diagnose monoamniotic twins. Obstet Gynecol 75: 296298.Google Scholar
21.Tessen, JA, Zlatnik, FJ (1991): Monoamniotic twins: a retrospective controlled study. Obstet Gynecol 77: 832834.Google ScholarPubMed
22.Townsend, RR, Filly, RA (1988): Sonography of nonconjoined monoamniotic twin pregnancies 7: 655.Google Scholar
23.Wensinger, JA, Daly, RF (1962): Monoamniotic twins. Am J Obstet Gynecol 83: 12541256.Google Scholar
24.Wharton, B, Edwards, JH, Cameron, AH (1968): Monoamniotic twins. J Obstet Gynecol Br Cwlth 75: 158163.CrossRefGoogle Scholar