All issues > Volume 37(5); 1994

Case Report

J Korean Pediatr Soc. 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 JY Choi¹, Kook In KI Park¹, Ran R Namgung¹, Chul C Lee¹, Dong Gwan DG Han¹, Tae Sub TS Chung²

¹Department of Pediatrics, College of Medicine, Yonsei University, Seoul,Korea
²Department of Diagnostic Radilolgy, College of Medicine, Yonsei University, Seoul,Korea

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.

Keywords :Monozygotic twin, Intrauterine fetal death, Brain damage