PMID- 17582615 OWN - NLM STAT- MEDLINE DCOM- 20080115 LR - 20070903 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 27 IP - 9 DP - 2007 Sep TI - Prenatal diagnosis and prenatal imaging features of fetal monosomy 1p36. PG - 874-8 AB - Deletion of the distal end of the short arm of chromosome 1 (1p36) is thought to be a common terminal chromosomal deletion. However, few cases prospectively diagnosed prenatally have been reported. In this case, prenatal ultrasound at 21 weeks of gestation noted the fetus to have mild ventriculomegaly (Vhanterior = 11 mm and Vhposterior = 12 mm) and increased nuchal edema (6 mm). Maternal serum alpha-fetoprotein was normal unlike in a majority of previously described cases. The prenatal ultrasound features were further clarified with fetal MRI. Chromosome analysis following amniocentesis demonstrated a 1p36 deletion, which was confirmed by fluorescence in situ hybridization (FISH). The syndrome associated with 1p36 deletion is well described in infants and is characterized by typical facial features (prominent forehead, straight eyebrows. deep-set eyes, flat nasal bridge and a pointed chin). Other associated features are neurodevelopmental delay, seizures, cardiomyopathy and neurosensory hearing impairment. This case supplements our knowledge of the prenatal features of 1p36. Identification of this deletion by direct chromosomal analysis can be technically difficult and vigilance is required to improve diagnosis. FISH analysis is an important diagnostic adjunct where the diagnosis is suspected following classical G-banding techniques. However, in this chromosomal anomaly there remain few characteristic prenatal signs that are readily diagnosed with prenatal imaging. CI - 2007 John Wiley & Sons, Ltd FAU - Lissauer, D AU - Lissauer D FAU - Larkins, S A AU - Larkins SA FAU - Sharif, S AU - Sharif S FAU - MacPherson, L AU - MacPherson L FAU - Rhodes, C AU - Rhodes C FAU - Kilby, M D AU - Kilby MD LA - eng PT - Case Reports PT - Letter PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 SB - IM MH - Adult MH - *Chromosomes, Human, Pair 1 MH - Cytogenetic Analysis MH - Female MH - Humans MH - Infant, Newborn MH - Magnetic Resonance Imaging MH - Male MH - Monosomy/*diagnosis MH - Pregnancy MH - Prenatal Diagnosis/*methods EDAT- 2007/06/22 09:00 MHDA- 2008/01/16 09:00 CRDT- 2007/06/22 09:00 PHST- 2007/06/22 09:00 [pubmed] PHST- 2008/01/16 09:00 [medline] PHST- 2007/06/22 09:00 [entrez] AID - 10.1002/pd.1796 [doi] PST - ppublish SO - Prenat Diagn. 2007 Sep;27(9):874-8. doi: 10.1002/pd.1796.