Pierre-Robin Complex Associated with Multiple Congenital Malformations - a Case report
Bartoš V.1, Huťka Z.1, Fedor M.2, Mišovicová N.3, Adamicová K.1, Adamkov M.4
Ústav patologickej anatomie JLF UK a MFN, Martin1 vedúci prof. MUDr. L. Plank, CSc. Klinika dětí a dorastu JLF UK a MFN, Martin2 vedúci prof. MUDr. P. Bánovčin, CSc. Genetická ambulancia, Mudroňova 7, Martin Ústav histologie a embryológie JLF UK, Martin4 vedúci doc. MUDr. K. Bělej, CSc. |
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Summary:
Pierre-Robin complex is a congenital malformation consisting of 3 essential anomalies - micrognathia, cleft palatě and glossoptosis, often accompanied by airway obstruction. This nosologic entity is ethiologically very heterogeneous with a broad spectrum of phenotypic variability. A malformation can occur a) as an isolated defect, b) as a part of certain recognized syndrome or c) as part of a complex of multiple congenital malformations without well-known or strictly defined syndrome. Therefore, the first diagnostic consideration is to specify a form of Pierre-Robin complex. This distinction is very important, because in the vast majority of syndromologic forms, accompanied anomalies are prognostically much more important.
The authors of the article present a čase report of a one year old child born with Pierre-Robin complex associated with multiple congenital anomalies including tetralogy of Fallot, microcephaly, backbone deformities and not otherwise specified myelopathy of spinal cord. They demonstrate a course of the disease, clinical examinations, therapy, complications and finally autopsy findings.
In discussion, they describe an ethiopathogenesis and typical clinical manifestati-ons of this malformation and compare the information in a literatuře with their own observation.
Key words:
Pierre-Robin complex, tetralogy of Fallot, congenital malformations
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