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Volume 6, Issue 5 (Suppl)
OMICS J Radiol, an open access journal
ISSN: 2167-7964
Radiology and Oncology 2017
October 19-20, 2017
World Congress on
October 19-20, 2017 | New York, USA
Radiology and Oncology
Neural tube malformations diagnosed at prenatal ultrasound in Abidjan
Anhum Konan, Idrissa Garba, Alionou Setcheou, Olivier Tra-Bi, Sorel Manewa, Abdoulaye Toure, Ali Coulibaly, N'goran Kouame, A-M N'goan-Domoua
and
R D N'gbesso
University hospital Yopougon, Côte d'Ivoire
Objective:
The oblective of this study is to describe the morphological abnormalities of the neural tube discovered at ultrasound in
Abidjan.
Patients & Methods:
A retrospective multicenter study carried out over a 6-year period in Côte d'Ivoire (January 2009 to December
2015). All obstetric ultrasound reports were re-read. Cases of neural tube defects have been recurrent; Then their types, seating,
associated signs and socio-demographic and epidemiological characteristics were described.
Results:
6714 obstetric ultrasound scans of the first, second and third trimesters were reviewed. 104 cases of fetal malformation
(1.55%) were identified. 64.42% of the malformations (67/104) concerned the neural tube. The major morphological abnormality was
lethal in 37 cases (55.22%) and minor, non-lethal in 30 cases (44.78%). The major morphological abnormalities were all anencephaly.
Minor morphological abnormalities included 10 cases of myelomeningocele, 7 cases of lumbosacral spinabifida and 13 cases of
hydrocephalus. Hydramnios were associated in 59 cases (88.06%).
Discussion:
The rate of malformation of the neural tube would be high in our context for 3 reasons: The high prevalence of
infectious diseases such as rubella and toxoplasmosis which have a high tropism for the neural tube. Poverty with a lack of folic
acid supplementation necessary for the good development of the neural tube. A frequent association with a hydramnios (59 cases or
88.06%), a sign of specificity and high sensitivity (99.5% and 87.3% respectively) for the detection of fetal malformations in particular
of the neural tube
.
Anhum_konan@yahoo.frAnhum Konan et al., OMICS J Radiol 2017, 6:5 (Suppl)
DOI: 10.4172/2167-7964-C1-016