Lenticulostriate vasculopathy in twin-to-twin transfusion syndrome

Kandasamy, Y., Alcock, G., and Koh, T.H.H.G. (2006) Lenticulostriate vasculopathy in twin-to-twin transfusion syndrome. Journal of Perinatology, 26 (12). pp. 780-782.

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Intracranial pathology is a common and important complication in extremely low birth weight babies. Lenticulostriate vasculopathy (LSV) is an abnormal finding on cranial ultrasounds of sick babies and has been associated with congenital infection, chromosomal aberration and twin-to-twin transfusion. We describe a previously unreported situation of LSV being detected in both donor and recipient twin. This pair of monochorionic, diamniotic twins was admitted to the Neonatal Intensive Care Unit at 28 weeks of gestation. The mother underwent an emergency caesarean section because ultrasound and Doppler studies showed stage III twin-to-twin transfusion syndrome. The first twin weighed 998 g and second twin weighed 600 g. The first twin had an uneventful stay, whereas the second twin needed prolonged continuous positive airway pressure and indomethacin for patent ductus arteriosus. Both of them developed LSV. The clinical significance of this condition on the neuro-developmental outcome of a neonate has not yet been fully determined.

Item ID: 36491
Item Type: Article (Case Study)
ISSN: 1476-5543
Keywords: lenticulostriate vasculopathy, twin-to-twin transfusion syndrome, twins, ultrasound brain
Date Deposited: 20 Jan 2015 00:39
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111401 Foetal Development and Medicine @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920111 Nervous System and Disorders @ 100%
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