Journal of the Korean Pediatric Society 1994;37(5):701-706.
Published online May 15, 1994.
A Case of Brain Damage in Surviving Monozygotic Twin After Intrauterine Death of Co-Twin
Jae Young Choi1, Kook In Park1, Ran Namgung1, Chul Lee1, Dong Gwan Han1, Tae Sub Chung2
1Department of Pediatrics, College of Medicine, Yonsei University, Seoul,Korea
2Department of Diagnostic Radilolgy, College of Medicine, Yonsei University, Seoul,Korea
일란성 쌍태아에서 한 명의 태아사망으로 인한 출생아의 뇌 손상 1례
최재영1, 박국인1, 남궁란1, 이철1, 한동관1, 정태섭2
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 진단방사선과학교실
Abstract
Various anatomical defects have been described in the surviving twin who had a stillborn, macerated monozygotic co-twin 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.
Key Words: Monozygotic twin, Intrauterine fetal death, Brain damage


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