Meckel – Gruber sendromu: Olgu sunumu
Meckel Gruber Sendromu otozomal ressesif geçiş gösteren renal kist, santral sinir sistemi anormallikleri (ensefalosel), hepatik kanallarda kist ve displazi ve polidaktiliyle seyreden bir sendromdur. Bu hastalarda AFP düzeyleri yüksektir. Alternatif isimleri Meckel Sendromu, Disensephali Splanchnocystica, Gruber Sendromu ve Meckel-Gruber Sendromu. Bu vaka nadir görülen, rekürrens riski yüksek ve antenatal AFP düzeyi ölçümü ve ultrasonografi ile erken tanınabilen Meckel Gruber Sendromu’na dikkat çekmek için sunulmuştur.
Meckel Gruber syndrome: A case report
Meckel-Gruber syndrome is an autosomal recessive disorder characterized by a combination of renal cysts and variably associated features including developmental anomalies of the central nervous system (typically encephalocele), hepatic ductal dysplasia and cysts, and polydactyly. İn this cases AFP levels are increases. Alternative names are Meckel Syndrome, Dysencephalia Splanchnocystica, Gruber Syndrome and Meckel – Gruber Syndrome. This study is presented to draw attention to the Meckel Gruber Syndrome which seen rarely, have high risk of reccurence and antenathal determination of AFP levels and early diagnosis by ultrasonographic screening can be confident.
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- 1. Paavola P. The locus for Meckel Syndrome with congenital anomalies maps to chromosome 17q21-q24. Nature Genetics. 1995; 11:213-217. 2. Gruber GB. Beiträge zur Frage gekoppelter Missbildungen. Beitr Pathol Anat 1934;93: 459-476. 3. Gruber GB. Gliedmassenfehler aus plazentarer Beeinträchtigung. In: Schwalbe E, Gruber GB, eds. Die Morphologie der Missbildungen des Menschen und der Tiere, III Teil, Abteilung I, Kapitel VII. Jena: Gustav Fisher, 1937; 278–299. 4. Gruber GB. Hyperdaktylie (Polydaktylie), Diplocheirie und Diplopodie, Hypermelie, Oligodaktylie und Defekte von Röhrenknochen. II. Teil. Menschlicher Betrachtungskreis. In: Schwalbe E, Gruber GB, eds. Die Morphologie der Missbildungen des Menschen und der Tiere, III Teil, Abteilung I, Kapitel VII. Jena: Gustav Fisher, 1958: 720–808. 5. Kenneth L.J.; Smith’s Recognizable Patterns of Human Malformation (5th eddition) WB. Saunders Co. Philadelphia, 1997;184-85. 6. Sun CC, Grumbach K, DeCosta DT, Meyers CM, Dungan JS. Correlation of prenatal ultrasound diagnosis and pathologic findings in fetal anomalies.Pediatr Dev Pathol.1999 ; 2:131-42. 7. Sepulveda W, Sebire NJ, Souka A, Snijders RJ, Nicoloides KH. Diagnosis of the Meckel Gruber Syndrome of levent o fourteen weeks’gestation. Am J Obstet Gynecol.1997; 176:316-319. 8. Mozneukova V, Komenov E, Dimitrova L. Ultrasound diagnosis of Meckel Gruber Syndrome at 13 weeks of gestation in families at risk-a case report and literatür review/Akush Ginekol(Soffia)2002;41:42-5. 9. Morgan NV, Glissen P, Sharit SM, Baumber L. A novel lokus for Meckel Gruber Syndrome, MKS3, Maps to chromosome 8q24. Hum Genet. 2002 ;111:456-61. 10. Kurado N, İshiura Y, Kawashima M, et al. Distrubition of myofibroblastic cells in the liver and kidney of Meckel Gruber syndrome. Pathol İnt.2004 ;54:57-62.