sharon sanders
Editor-in-Chief & President
Congenital Zika syndrome with arthrogryposis: retrospective case series study
BMJ2016; 354doi: http://dx.doi.org/10.1136/bmj.i3899(Published 09 August 2016)Cite this as: BMJ 2016;354:i3899
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Conclusions
Congenital Zika syndrome should be added to the differential diagnosis of congenital infections and arthrogryposis. The arthrogryposis was unrelated to the abnormalities of the joints themselves, but was possibly of neurogenic origin, with chronic involvement of central and peripheral motor neurones leading to deformities as a result of fixed postures in utero. Based on the neurophysiological observations, we suggest two possible mechanisms: tropism of neurones, with involvement of peripheral and central motor neurones, or a relation with vascular disorders.
http://www.bmj.com/content/354/bmj.i3899
BMJ2016; 354doi: http://dx.doi.org/10.1136/bmj.i3899(Published 09 August 2016)Cite this as: BMJ 2016;354:i3899
snip
Conclusions
Congenital Zika syndrome should be added to the differential diagnosis of congenital infections and arthrogryposis. The arthrogryposis was unrelated to the abnormalities of the joints themselves, but was possibly of neurogenic origin, with chronic involvement of central and peripheral motor neurones leading to deformities as a result of fixed postures in utero. Based on the neurophysiological observations, we suggest two possible mechanisms: tropism of neurones, with involvement of peripheral and central motor neurones, or a relation with vascular disorders.
http://www.bmj.com/content/354/bmj.i3899