HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Angtuaco, T. L. Articles by Quirk, J. G. Search for Related Content PubMed PubMed Citation Articles by Angtuaco, T. L. Articles by Quirk, J. G., Jr Related Collections Obstetric/Gynecologic Radiology Ultrasound

US Case of the Day

¹ Departments of Radiology (T.L.A., E.J.A.)
² Obstetrics and Gynecology (T.L.A., J.G.Q.), University of Arkansas for Medical Sciences, 4301 W Markham, Little Rock, AR 72205.

View larger version (111K): [in a new window]   Figure 1a.  (a) Coronal US image of the fetal brain shows complete duplication of normal-appearing cerebral structures. The cerebellar hemispheres are not well visualized, and there appears to be fusion at the posterior fossa. A large cystic structure is seen at the level of fusion (arrow). (b) Transverse US image through the fetal orbits demonstrates the two medial orbits (arrows) separated by a very thin septum of bone. (c) Transverse US image of the fetal face obtained just inferior to b shows two noses (arrows) projecting laterally from a shared medial cheek.

View larger version (93K): [in a new window]   Figure 1b.  (a) Coronal US image of the fetal brain shows complete duplication of normal-appearing cerebral structures. The cerebellar hemispheres are not well visualized, and there appears to be fusion at the posterior fossa. A large cystic structure is seen at the level of fusion (arrow). (b) Transverse US image through the fetal orbits demonstrates the two medial orbits (arrows) separated by a very thin septum of bone. (c) Transverse US image of the fetal face obtained just inferior to b shows two noses (arrows) projecting laterally from a shared medial cheek.

View larger version (78K): [in a new window]   Figure 1c.  (a) Coronal US image of the fetal brain shows complete duplication of normal-appearing cerebral structures. The cerebellar hemispheres are not well visualized, and there appears to be fusion at the posterior fossa. A large cystic structure is seen at the level of fusion (arrow). (b) Transverse US image through the fetal orbits demonstrates the two medial orbits (arrows) separated by a very thin septum of bone. (c) Transverse US image of the fetal face obtained just inferior to b shows two noses (arrows) projecting laterally from a shared medial cheek.

View larger version (72K): [in a new window]   Figure 2.  Photograph demonstrates the postmortem appearance of the neonate.

View larger version (130K): [in a new window]   Figure 3.  Postmortem photograph of the neonate demonstrates typical features of diprosopus tetraophthalmos with characteristic duplication of facial structures. The two faces share a medial cheek and ear, and normal-appearing ears are seen bilaterally.

View larger version (78K): [in a new window]   Figure 4.  Postmortem radiograph demonstrates duplication of the cervical spine with multiple abnormal cervical and thoracic vertebrae.

View larger version (101K): [in a new window]   Figure 5. Figures 5, 6. (5) Coronal T1-weighted spin-echo postmortem MR image of the conjoined brains (repetition time msec/echo time msec = 650/16) shows complete separation of the cerebral hemispheres. The cerebella (arrows) are markedly hypoplastic. A large fluid collection is seen inferior to the cerebellar hemispheres and is common to both brains. (6) Photograph of the conjoined brains (posterior view) helps confirm the findings at prenatal US and postmortem MR imaging (cf Figs 1, 5).

View larger version (129K): [in a new window]   Figure 6. Figures 5, 6. (5) Coronal T1-weighted spin-echo postmortem MR image of the conjoined brains (repetition time msec/echo time msec = 650/16) shows complete separation of the cerebral hemispheres. The cerebella (arrows) are markedly hypoplastic. A large fluid collection is seen inferior to the cerebellar hemispheres and is common to both brains. (6) Photograph of the conjoined brains (posterior view) helps confirm the findings at prenatal US and postmortem MR imaging (cf Figs 1, 5).

View larger version (87K): [in a new window]   Figure 7.  Coronal T1-weighted (400/16) postmortem MR image of the chest and abdomen helps confirm the presence of a left-sided diaphragmatic hernia. The heart (arrow) is displaced within the right hemithorax.