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July 1982, Vol 136, No. 7 >
Article | July 1982

Radiological Case of the Month FREE

Julie Mitnick, MD; Elissa Kramer, MD; Nancy B. Genieser, MD; Lionel W. Young, MD
[+] Author Affiliations

Contributed from the Department of Radiology, New York University Medical Center.

Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr L. W. Young).


Am J Dis Child. 1982;136(7):637-638. doi:10.1001/archpedi.1982.03970430069020.
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After a 36-week gestation, a 2,500-g female infant was born without complications via breech delivery. An Apgar score of 9 was obtained at three minutes. Her 22-year-old mother (gravida 2) was diabetic and receiving 30 units of isophane insulin suspension (NPH insulin) twice daily (morning and evening) to control her diabetes. Aside from maternal diabetes, there was no other history of familial disease, including congenital anomalies.

Physical examination showed an alert female infant with a sacral crease that was approximately 2.5 cm in length. She had an equinovarus deformity of the right foot, and the left foot was in a fixed dorsiflexed position. There were no spontaneous movements of the lower limbs. The hips were maintained in flexed external rotation, and the knees also were flexed. Withdrawal responses to pinprick were obtained only down to the waist level. The muscle mass of the lower limbs was decreased. The buttocks

REFERENCES

1 +
Sarnat HB, Case ME, Graviss R:  Sacral agenesis . Neurology 1976;;26:1124-1129.
2 +
Passarge E, Lenz W:  Syndrome of caudal regression in infants of diabetic mothers: Observations of further cases . Pediatrics 1966;;37:672-675.
3 +
Landauer W, Clark EM:  Teratogenic interaction of insulin and 2-deoxy-D-glucose in chick development . J Exp Zool 1962;;151:245-252.
4 +
Say B, Coldwell JG:  Sacral agenesis . Pediatrics 1975;;55:567-568.
5 +
Williams D, Nixon H:  Agenesis of the sacrum . Surg Gynecol Obstet 1957;;105:84-88.
6 +
Thompson I, Kirk R, Dale M:  Sacral agenesis . Pediatrics 1974;;54:236-238.
7 +
Lebowitz R:  Sacral agenesis . Pediatrics 1975;;55:300-301.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Sarnat HB, Case ME, Graviss R:  Sacral agenesis . Neurology 1976;;26:1124-1129.
2 +
Passarge E, Lenz W:  Syndrome of caudal regression in infants of diabetic mothers: Observations of further cases . Pediatrics 1966;;37:672-675.
3 +
Landauer W, Clark EM:  Teratogenic interaction of insulin and 2-deoxy-D-glucose in chick development . J Exp Zool 1962;;151:245-252.
4 +
Say B, Coldwell JG:  Sacral agenesis . Pediatrics 1975;;55:567-568.
5 +
Williams D, Nixon H:  Agenesis of the sacrum . Surg Gynecol Obstet 1957;;105:84-88.
6 +
Thompson I, Kirk R, Dale M:  Sacral agenesis . Pediatrics 1974;;54:236-238.
7 +
Lebowitz R:  Sacral agenesis . Pediatrics 1975;;55:300-301.

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