PMC4060403_01
30-year-old nulliparous female in her second pregnancy at 28th week of pregnancy, fetus diagnosed with Pena-Shokeir syndrome. Two-dimensional ultrasound (a) longitudinal section through the fetus shows the persistent hyperextension of the spine (arrow). (b) Sagittal section shows the fetal head extension and micrognathia (arrow).
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F1
The two-dimensional ultrasound showed persistent hyperextension of the spine with extension of the head, persistent flexion of the arms and legs, twisting of hands and feet, retrognathia, and signs of pulmonary hypoplasia [Figure 1].
30-year-old nulliparous female in her second pregnancy at 28th week of pregnancy, fetus diagnosed with Pena-Shokeir syndrome. Three-dimensional ultrasound images in rendering mode (a) shows hyperextension of the head (white arrow) and micrognathia (red arrow), (b) shows twisting of the feet (blue arrows).
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F2
Observation of the fetal posture showed persistent flexion of the upper and lower limbs and twisting of the hands and feet, along with greater detailing of the micrognathia [Figure 2].
Baby born at 32nd week of gestation. Postnatal image after unsuccessful attempt to resuscitate the newborn with Pena-Shokeir syndrome. The photograph shows twisted appearance of the hands and feet (white arrows), as well as the micrognathia (red arrow).
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F3
Apgar scores in the first and fifth minute of 0/0, respectively. After exhaustive resuscitation, the newborn died [Figure 3].