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Human Reproduction, Vol. 14, No. 2, 556-559, February 1999
© 1999 European Society of Human Reproduction and Embryology

Case Report: Can nuchal cord cause transient increased nuchal translucency thickness?

R. Maymon1, A. Herman, E. Dreazen, Y. Tovbin, I. Bukovsky and Z. Weinraub

Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Zrifin, 70300 (affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv), Israel

When detected in a first trimester scan, an increased thickness of nuchal translucency (NT) may be associated with chromosomal, cardiac or genetic disorders. However, less attention has been devoted to the outcome of those fetuses who have confirmed normal anatomies and karyotyping, but have abnormal first trimester scans. Thus, a challenging new issue is how to counsel such cases of transient increased NT in which the translucency rapidly vanishes with no evidence of other underlying abnormalities. Two cases of transient increased thickness of NT are reported. In both, a nuchal cord was ultrasonographically demonstrated and a thorough work-up revealed chromosomally and anatomically normal fetuses. The pathophysiological theories behind these observations and their significance are discussed. Based on these observations, we suggest that transvaginal sonography combined with Doppler flow studies should be utilized for the presize detection of cord patterns to accomplish the work-up in cases of increased NT.

Key words: Doppler flow/nuchal cord/nuchal translucency/pregnancy/sonography/transient appearance

1 To whom correspondence should be addressed


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