Ethics code: HIMS/IRC/21/22


XML Print


Senior Resident, Department of Pathology, Hassan Institute of Medical Sciences, Hassan, Karnataka, India , Chaitrabe93@gmail.com
Abstract:   (339 Views)
Background & Aims: According to the March of Dimes (MOD) global report on birth defects, 7.9 million births occur annually worldwide with serious birth defects. The prevalence of congenital anomalies in India is 6-7%. Worldwide, NTDs affect 323,904 infants with a prevalence rate of 0.5 to 11 per 1000 births. Although prenatal sonography has been developed in recent years, the definitive diagnosis of fatal fetal malformations is best made by fetal autopsy. An autopsy not only confirms, but also provides additional information and is useful in advising parents about the risks and prevention of similar malformations in future pregnancies. The aim of the study is to study the spectrum of Neural tube defects in foetal autopsies.
Materials & Methods:This retrospective study was conducted in the Department of Pathology, Hassan Institute of Medical sciences, Hassan, Karnataka, India. 97 fetal autopsies were performed between July 2010 to June 2020, out of which 39 cases had CNS malformations. 36 cases with NTD were included in this study. All the essential clinical data were retrieved from the autopsy forms and case files. In every case, the location and morphology of the NTD and associated morphologic anomalies were noted. The statistical analysis was performed by using frequency and percentage using SPSS version 24.
Results: Out of 36 cases, the majority of the cases were Spina bifida (27.78%) followed by Anencephaly (25%).
Conclusion: Congenital disorders are a great public health issue in developing countries. The multidisciplinary approaches to fetal malformations have ever increasing importance in prenatal medicine. Fetal autopsy has a vital role in diagnosis of congenital malformations and detecting the cause of death.  
Full-Text [PDF 295 kb]   (77 Downloads)    
Type of Study: orginal article | Subject: Other

References
1. Joint WH, World Health Organization. Management of birth defects and haemoglobin disorders: report of a joint WHO-March of Dimes meeting, Geneva, Switzerland, 17-19 May 2006. [URL]
2. Forci K, Bouaiti EA, Alami MH, Mdaghri Alaoui A, Thimou Izgua A. Incidence of neural tube defects and their risk factors within a cohort of Moroccan newborn infants. BMC Pediatrics 2021;21(1):1-0. [DOI:10.1186/s12887-021-02584-5] [PMID] []
3. Rai SK, Singh R, Pandey S, Singh K, Shinde N, Rai S, et al. High incidence of neural tube defects in Northern part of India. Asian J Neurosurg 2016;11(4):352-5. [DOI:10.4103/1793-5482.175628] [PMID] []
4. Moody SA, editor. Principles of developmental genetics. Academic Press; 2014 Sep 2. [URL]
5. Singh V, Raina S, Dewan D, Raina S, Dogra V. Epidemiological study of neural tube defects in Jammu division, India. Int J Res Med Sci 2019;7(3):682. [DOI:10.18203/2320-6012.ijrms20190917]
6. Mailaram S, Nalini Y, Ramana Bai PV, Rani S, Lakshmi V. Neural tube defects: A case series. MRIMS J Health Sci 2021;9(1):34. [DOI:10.4103/mjhs.mjhs_21_20]
7. Garg. S, Saxena. A. K, Aneja. P, Saha. S. A study of incidence of neural tube defects and their pattern in a tertiary care hospital of gurugram. Int J Anat Res 2020;8(1.2):727772-82. [DOI:10.16965/ijar.2019.303]
8. Kanchana UT, Choukimath SM, Reddy P, Sherikar S. Congenital Central Nervous System and Associated Systemic Anomalies in Foetal and Perinatal Autopsy-A Retrospective Study. J Clin Diagn Res 2022;16(2). [DOI:10.7860/JCDR/2022/50885.15968]
9. Struksnæs C, Blaas HK, Vogt C. Autopsy findings of central nervous system anomalies in intact fetuses following termination of pregnancy after prenatal ultrasound diagnosis. Pediatr Dev Pathol 2019;22(6):546-57. [DOI:10.1177/1093526619860385] [PMID]
10. Kale-Jain PP, Kanetkar SR, Dhirajkumar BS, Hulwan AB, Borade P, Vohra NV. Study of Congenital Malformations in Fetal and Early neonatal autopsies. Ann Pathol Lab Med 201;4(4):434-41. [DOI:10.21276/APALM.1272]
11. Sivashankara, Naik V, Babu P, Reddy E, Prasad B, Radha B, Myreddy N, et al. Study of various congenital anomalies in fetal and neonatal autopsy. Int J Res Med Sci 2015;3(5):1114-21. [DOI:10.5455/2320-6012.ijrms20150516]
12. Vinutha SP, Narayanappa D, Manjunath GV, Sujatha MS, Sapna Patel MC, Bhat D. The Spectrum of Congenital Central Nervous System Anomalies Among Stillborn: An Autopsy Based Study. Annf Neurosci 2020;27(3-4):224-31. [DOI:10.1177/0972753121990169] [PMID] []
13. Panduranga C, Kangle R, Suranagi VV, Pilli GS, Patil PV. Anencephaly: A pathological study of 41 cases. J Sci Soc 2012;39:81-4. [DOI:10.4103/0974-5009.101852]
14. Kant S, Malhotra S, Singh AK, Haldar P, Kaur R, Misra P, Gupta N. Prevalence of neural tube defects in a rural area of north india from 2001 to 2014: A population‐based survey. Birth Defec Res 2017;109(3):203-10. [DOI:10.1002/bdra.23578] [PMID]
15. Cherian A, Seena S, Bullock RK, Antony AC. 2005. Incidence of neural tube defects in the least-developed area of India: a population-based study. Lancet 366:930-931. [DOI:10.1016/S0140-6736(05)67319-9] [PMID]
16. Zaganjor I, Sekkarie A, Tsang BL, et al. 2016. Describing the prevalence of neural tube defects worldwide: a systematic literature review. PLoS One 11:e0151586. [DOI:10.1371/journal.pone.0151586] [PMID] []
17. Kulkarni ML, Mathew MA, Reddy V. The range of neural tube defects in southern India. Arch Dis Childh 1989; 64:201-04. [DOI:10.1136/adc.64.2.201] [PMID] []
18. Mini S, Neera A, Shashi V, Bhargava SK. Neural tube defects in an East Delhi Hospital. India Jf Pediatr 1991; 58:363-65. [DOI:10.1007/BF02754968] [PMID]
19. Bhide P, Sagoo GS, Moorthie S, et al. 2013. Systematic review of birth prevalence of neural tube defects in India. Birth Defects Res A Clin Mol Teratol 97:437-43. [DOI:10.1002/bdra.23153] [PMID]
20. Avagliano L, Massa V, George TM, Qureshy S, Bulfamante GP, Finnell RH. Overview on neural tube defects: From development to physical characteristics. Birth Defects Res 2019;111(19):1455-67. [DOI:10.1002/bdr2.1380] [PMID] []

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.