Importance of radiology in the study of anatomical pieces. Study of thecranio-facial region from a cyclope fetus.
2009
Cyclopia is a congenital anomaly characterized by the presence of a
unique eye in the medial part of the face, which combines the lack of
separation of the eyes and the failure of prosencephalic division. In
this strange anomaly there is a defective development of the anterior
end of the neural tube, which is always associated with brain
abnormalities. It is considered the most extreme variable in the
holoprosencephaly that is frequently associated with anomalies of the
mid line involving the facial region and other systems. There exist a
wide variation, from complete cyclopia, which presents a rudimentary
unique eye in the mid line, up to the incomplete cyclopia, where there
are two well formed ocular globes that are very near in a wide orbit.
It arises from the action of different teratogenic factors altering the
normal embryonic development and consequently distorting axes
determination, and the ocular organogenesis. Among the teratogenic
factors the environmental and genetic are cited. At the moment the
cyclopia diagnosis is achieved during intra-uterine life by the
ultrasonographic study at precocious stages of the development, during
the first trimester of pregnancy. However, the postmortem radiological
study of anatomical fetal pieces is also important for the assesment of
other malformations. The case of a feminine sex fetus cyclops is
presented, who exhibits in the ventral face region a unique eye, which
is located in a rhombic orbital cavity. The lids are fused. Between the
superior lip and the unique eye, a depression is observed that
delineate the superior maxillary. Simple radiological, tomographic, and
magnetic resonance cranio-facial studies were carried out confirming
their importance for the detection of other associate anomalies, not
only external, but also bony and visceral.
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