Diaphragmatic hernia in a term newborn with congenital myotonic dystrophy: case report

Diaphragmatic hernia in a term newborn with congenital myotonic dystrophy: case report

Authors

  • Francesco Pezzoli Department of Paediatrics, Meyer Children's Hospital IRCCS, University of Florence, Florence, Italy
  • Sara Parigi Department of Paediatrics, Meyer Children's Hospital IRCCS, University of Florence, Florence, Italy
  • Marco Moroni Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Michele Sacchini Metabolic and Muscular Unit, Meyer Children's Hospital IRCCS, Italy
  • Giorgia Mancano Medical Genetics Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
  • Andrea Zulli Department of Paediatrics, Meyer Children's Hospital IRCCS, University of Florence, Florence, Italy
  • Francesco Morini Neonatal Surgery Unit, Meyer Children's Hospital IRCCS, Florence, Italy
  • Elena Sandini Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Elettra Berti Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Gabriella Gabbrielli Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Lisa Serafini Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Elisabetta Agostini Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Angelo Azzarà Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Letizia Padrini Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Maria Luce Cioni Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Anna Ingargiola Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Letizia Petrucci Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Filomena Paternoster Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy
  • Serena Catarzi Neonatal Intensive Care Unit, Interdisciplinary Specialistic Department, Intensive Activity and Emergency Area, Meyer Children's Hospital IRCCS, Florence, Italy

Keywords:

Congenital Myotonic Dystrophy, Diaphragmatic hernia, Cerebral Ventricular Dilatation

Abstract

Background and aim Myotonic dystrophy (DM) is a genetic disorder determined by an amplified trinucleotide CTG repeat in the untranslated region of the DMPK gene on chromosome 19q13.3. The incidence of the congenital form is 1 in 47619 live births and the mortality in the neonatal period is up to 40%.

Methods: We report a case of congenital DM (CDM, also designated Myotonic Dystrophy Type 1), presented with congenital right diaphragmatic hernia and cerebral bilateral ventricular dilatation, genetically diagnosed.

Conclusions: Since no case of congenital diaphragmatic hernia associated with CDM is reported, the present case report could be considered of particular interest

References

Jain A, Al Khalili Y. Congenital Myotonic Dystrophy. [Updated 2022 Jul 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560518/

Stokes M, Varughese N, Iannaccone S, Castro D. Clinical and genetic characteristics of childhood-onset myotonic dystrophy. Muscle Nerve. 2019;60(6):732-8. doi: 10.1002/mus.26716.

Gupta K, Kennelly MR, Siddappa AM. Congenital Myotonic Dystrophy and Brugada Syndrome: A Report of Two Cases. Am J Case Rep. 2020;21:e919867. doi: 10.12659/AJCR.919867.

Kim HN, Cho YK, Cho JH, Yang EM, Song ES, Choi YY. Transient complete atrioventricular block in a preterm neonate with congenital myotonic dystrophy: case report. J Korean Med Sci. 2014 ;29(6):879-83. doi: 10.3346/jkms.2014.29.6.879.

Dahlqvist JR, Ørngreen MC, Witting N, Vissing J. Endocrine function over time in patients with myotonic dystrophy type 1. Eur J Neurol. 2015;22(1):116-22. doi: 10.1111/ene.12542.

Caglar MK, Geven WB. Imaging case of the month. Cerebral ventricular dilation and diaphragmatic elevation in congenital myotonic dystrophy. Am J Perinatol. 1990;7(2):198-9. doi: 10.1055/s-2007-999480.

Kapoor V, Wright IM. Congenital myotonic dystrophy with cardiac conduction defect and eventration of the diaphragm. Pediatr Int. 2010;52(1):e6-8. doi: 10.1111/j.1442-200X.2009.02998.x.

Sarnat BH, Sarnat FL. Neonatal neuromuscular disorders. In: Taeusch HW, Ballard RA, Gleason CA (eds). Avery’s Diseases of the Newborn, 8th edn. Elsevier Saunders, Philadelphia, PA, 2005; p.996.

Pratte A, Prévost C, Puymirat J, Mathieu J. Anticipation in myotonic dystrophy type 1 parents with small CTG expansions. Am J Med Genet. 2015;167A(4):708-14. doi: 10.1002/ajmg.a.36950.

Rutherford MA, Heckmatt JZ, Dubowitz V. Congenital myotonic dystrophy: respiratory function at birth determines survival. Arch Dis Child. 1989;64(2):191-5. doi: 10.1136/adc.64.2.191.

Kambara M, Ibara S. Chylothorax as a complication of congenital myotonic dystrophy: A retrospective cohort study. Early Hum Dev. 2021;158:105396. doi: 10.1016/j.earlhumdev. 2021. 105396.

Garcia-Alix A, Cabañas F, Morales C, et al. Cerebral abnormalities in congenital myotonic dystrophy. Pediatr Neurol. 1991;7(1):28-32. doi: 10.1016/0887-8994(91)90102-q.

Tanabe Y, Iai M, Tamai K, Fujimoto N, Sugita K. Neuroradiological findings in children with congenital myotonic dystrophy. Acta Paediatr. 1992;81(8):613-7. doi: 10.1111/j.1651-2227. 1992.tb12312.x.

Hageman AT, Gabreëls FJ, Liem KD, Renkawek K, Boon JM. Congenital myotonic dystrophy; a report on thirteen cases and a review of the literature. J Neurol Sci. 1993;115(1):95-101. doi: 10.1016/0022-510x(93)90072-7.

Hashimoto T, Tayama M, Miyazaki M et al. Neuroimaging study of myotonic dystrophy. I. Magnetic resonance imaging of the brain. Brain Dev. 1995;17(1):24-7. doi: 10.1016/0387-7604(94)00096-g.

Bosemani T, Jasien J, Johnston MV, Huisman TA, Poretti A, Northington FJ. Neonatal neuroimaging findings in congenital myotonic dystrophy. J Perinatol. 2014;34(2):159-60. doi: 10.1038/jp.2013.142.

Downloads

Published

08-03-2023

Issue

Section

Case Reports: Pediatrics and Neonatology

How to Cite

1.
Pezzoli F, Parigi S, Moroni M, Sacchini M, Mancano G, Zulli A, et al. Diaphragmatic hernia in a term newborn with congenital myotonic dystrophy: case report. Acta Biomed [Internet]. 2023 Mar. 8 [cited 2024 Jul. 18];94(S1):e2023097. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/13822