Sinusoidal fetal heart rate pattern associated with massive fetomaternal transfusion

Abstract

formity. As no undulating movements of the tongue were seen in this case, this finding may be more indicative of cleft palate . The ability to determine inner and outer orbital distances reliably has recently been established. This parameter is useful not only in assessment of gestational age but also in determining the presence of hypotelor ism or hypertelorism. In our patient both the inner and outer orbital distance were increased for gestational age. Inner and outer canthal distances correlate well with inner and outer orbital distances in the absence of primary telecanthus or other soft tissue abnormalities. At birth, these canthal measurements were markedly increased, confirming the diagnosis of hypertelorism. The reason for the association of median cleft face syndrome with severe hydrocephalus due to aqueductal stenosis in this case in unclear. It is uncommon to find either hypertelorism or any other manifestation of the median cleft face syndrome associated with hydrocephalus. In this case, the severe hydrocephalus led us to a more detailed examination of the head and face. This experience emphasizes the dictum that whenever fetal hydrocephalus is diagnosed, a thorough examinaCommunications in brief 97