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A case of an epignathus with intracranial extension appearing as a persistently open mouth at 16 weeks and subsequently diagnosed at 20 weeks of gestation
Authors:Calda Pavel  Novotná Michaela  Cutka David  Břešt'ák Miroslav  Hašlík Lubomír  Goldová Barbara  Vítková Ivana  Vaněčková Manuela  Seidl Zdeněk
Affiliation:1. Charles University in Prague, First Faculty of Medicine, Department of Obstetrics and Gynecology of the First Faculty of Medicine and General University Hospital, Apoliná?ská 18, 128 51, Prague 2, Czech Republic;2. Centre of Medical Genetics, Novohradská 68, 370 08 Budweis, Czech Republic;3. Charles University in Prague, First Faculty of Medicine, Department of Pathology of the First Faculty of Medicine and General University Hospital, Studni?kova 2, Prague 2, 128 00, Czech Republic;4. Charles University in Prague, First Faculty of Medicine, Department of Radiology of the First Faculty of Medicine and General University Hospital, U Nemocnice 2, Prague 2, 128 08, Czech Republic
Abstract:We report a rare case of oral mass (epignathus) with intracranial extension originally suspected antenatally at 16 weeks' gestation because of a persistent open mouth. Postmortem MRI and pathologic examination of the fetus confirmed an oral teratoma with bilateral ventricular dilatation, corpus callosum agenesis, and a neuroepithelial intracranial cyst. The relevant literature regarding this anomaly is reviewed.
Keywords:epignathus  teratoma  ultrasonography  MRI  obstetrics
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