A case of diabetic fetopathy: caudal regression syndrome and associated anomalies
Keywords:Caudal regression syndrome, Diabetes, Fetopathy, Lumbosacral agenesis
Uncontrolled periconceptional diabetes in mother can give rise to severe malformation in the offspring. Author describe a case of diabetic fetopathy presenting as a case of Caudal regression syndrome along with cardiovascular, gastrointestinal and genitourinary anomaly. Though most cases of Caudal regression syndrome are sporadic, it is the most specific lesion of diabetic fetopathy. Clinical presentation varies depending on the severity of the neurological lesion along with the presence of other anomalies, most commonly genitourinary malformation. The index case described here had a type IV lumbosacral agenesis with severe bilateral motor and sensory deficits along with D-Transposition of great arteries and Pyloric atresia. Such cases arise due to inadequate prenatal care of diabetic mother, which is not uncommon in developing country like India.
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