A Case of Brain Damage in Surviving Monozygotic Twin After Intrauterine Death of Co-Twin.
- Author:
Jae Young CHOI
;
Kook In PARK
;
Tae Sub CHANG
;
Ran NAMGUNG
;
Chul LEE
;
Dong Gwan HAN
- Publication Type:Case Report
- MeSH:
Brain*;
Encephalomalacia;
Fibrin;
Hemorrhage;
Humans;
Infant, Newborn;
Leukomalacia, Periventricular;
Placenta;
Pregnancy;
Twins;
Twins, Monozygotic*
- From:Journal of the Korean Pediatric Society
1994;37(5):701-706
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Various anatomical defects have been described in the surviving twin who had a stillborn, macerated monozygotic co-twin with Disseminated Intravascular Coargulation. The etiology is thought to be placental transfer of emboli or thromboplastic material through placental vascular anastomoses. We experienced a case of monozygotic twin with deceased co-twin at 30 weeks of gestation and confirmed to have antenatal periventricular germinal matrix and intraventricular hemorrhage, multicystic periventricular leukomalacia and diffuse encephalomalacia by neurosonography on first day of life despite of no clinical evidence of brain damage. The pathologic findings of placenta revealed infarct with massive fibrin deposition. A brief review of related literature is presented.
