Mirror syndrome is another term for what is also known as Ballantyne Syndrome or triple edema. · Sometimes mirror syndrome will show up in a ...YourPrivacyRightsVerywellFamilyandourthird-partypartnersusecookiesandprocesspersonaldatalikeuniqueidentifiersbasedonyourconsenttostoreand/oraccessinformationonadevice,displaypersonalizedadsandforcontentmeasurement,audienceinsight,andproductdevelopment.TochangeorwithdrawyourconsentchoicesforVerywellFamily.com,includingyourrighttoobjectwherelegitimateinterestisused,clickbelow.Atanytime,youcanupdateyoursettingsthroughthe"EUPrivacy"linkatthebottomofanypage.Thesechoiceswillbesignaledgloballytoourpartnersandwillnotaffectbrowsingdata.ListofPartners(vendors)Weandourpartnersprocessdatato:Activelyscandevicecharacteristicsforidentification.Useprecisegeolocationdata.Storeand/oraccessinformationonadevice.Selectpersonalisedcontent.Createapersonalisedcontentprofile.Measureadperformance.Selectbasicads.Createapersonalisedadsprofile.Selectpersonalisedads.Applymarketresearchtogenerateaudienceinsights.Measurecontentperformance.Developandimproveproducts.ListofPartners(vendors)IAcceptShowPurposes

Mirror syndrome is an unusual pathological condition in which maternal edema in pregnancy is seen in association with severe fetal and/or placental hydrops.BrasilRevistaBrasileiradeGinecologiaeObstetríciaSubmissãodemanuscritosSobreoperiódicoCorpoEditorialInstruçõesaosautoresContatoEspañolEnglishBrasilEspañolEnglishRevistaBrasileiradeGinecologiaeObstetríciaSubmissãodemanuscritosSobreoperiódicoCorpoEditorialInstruçõesaosautoresContatosumário«anterioratualseguinte»ResumoResumo(Inglês)Resumo(Português)Texto(EN)Texto(Inglês)PDFDownloadPDF(Inglês)CompartilheCompartilheE-mailFacebookTwitterGoogle+LinkedInRedditStambleUponCiteULikeMendeleySumárioCompartilheE-mailFacebookTwitterGoogle+LinkedInRedditStambleUponCiteULikeMendeleyResumoResumo(Inglês)Resumo(Português)Texto(EN)Texto(Inglês)PDFDownloadPDF(Inglês)CaseReport•Rev.Bras.Ginecol.Obstet.40(07)•July 2018•https://doi.org/10.1055/s-0038-1653975 copyMirrorSyndromeassocciatedwithPatauSyndrome:ACaseReportSíndromedeespelhoassociadaaumasíndromedePatau:umrelatodecasoAnaSofiaPaisObstetricsService,MaternidadeDoutorDanieldeMatos,CentroHospitalareUniversitáriodeCoimbra,Coimbra,PortugalFaculdadedeMedicina,UniversidadedeCoimbra,Coimbra,PortugalAnaLuísaFialhoAmaraldeAreiaObstetricsService,MaternidadeDoutorDanieldeMatos,CentroHospitalareUniversitáriodeCoimbra,Coimbra,PortugalFaculdadedeMedicina,UniversidadedeCoimbra,Coimbra,PortugalSofiaMargaridaPerienesFrancoObstetricsService,MaternidadeDoutorDanieldeMatos,CentroHospitalareUniversitáriodeCoimbra,Coimbra,PortugalEtelvinaMoraisFerreiraFonsecaObstetricsService,MaternidadeDoutorDanieldeMatos,CentroHospitalareUniversitáriodeCoimbra,Coimbra,PortugalJoséPauloAchandoSilvaMouraObstetricsService,MaternidadeDoutorDanieldeMatos,CentroHospitalareUniversitáriodeCoimbra,Coimbra,PortugalFaculdadedeMedicina,UniversidadedeCoimbra,Coimbra,PortugalAbouttheauthorsAbstractMirrorsyndromeisanunusualpathologicalconditioninwhichmaternaledemainpregnancyisseeninassociationwithseverefetaland/orplacentalhydrops.Thedi

Mirror syndrome, also known as triple edema syndrome or Ballantyne syndrome, is rare and its prevalence and etiopathogenesis are unknown.CaseReportsinObstetricsandGynecology+JournalMenuPDFJournaloverviewForauthorsForreviewersForeditorsTableofContentsSubmitCaseReportsinObstetricsandGynecology/2018/ArticleArticleSectionsOnthispageAbstractIntroductionCaseReportDiscussionConflictsofInterestReferencesCopyrightCaseReport|OpenAccessVolume2018|ArticleID1302041|https://doi.org/10.1155/2018/1302041LuizFelipeLessaOrtiz,JulioElitoJúnior,EdwardAraujoJúnior,AlbertoBorgesPeixoto,NelsonSass,AntonioFernandesMoron,"MirrorSyndromeinMonochorionicTwinPregnancywithAcardiacFetus",CaseReportsinObstetricsandGynecology,vol.2018,ArticleID1302041,3pages,2018.https://doi.org/10.1155/2018/1302041ShowcitationMirrorSyndromeinMonochorionicTwinPregnancywithAcardiacFetusLuizFelipeLessaOrtiz,1JulioElitoJúnior,1EdwardAraujoJúnior,1AlbertoBorgesPeixoto,1,2NelsonSass,1andAntonioFernandesMoron11DepartmentofObstetrics,PaulistaSchoolofMedicine,FederalUniversityofSãoPaulo(EPM-UNIFESP),SãoPaulo,SP,Brazil2MárioPalmérioUniversityHospital,UniversityofUberaba(UNIUBE),Uberaba,MG,BrazilShowmoreAcademicEditor:ErichCosmiReceived07Aug2017Revised27Oct2017Accepted06Dec2017Published08Jan2018Wereportthecaseofa20-year-oldpatient,primigravida,withtwinmonochorionicpregnancy,withaweightgainof6 kginoneweekandincreasedbloodpressure.Duringtheultrasounddiagnosticinvestigation,placentaledemaandhydropswereidentifiedinbothfetuses,which,inassociationwithmaternalanasarcaandpressurecontrol,constitutethetriadformirrorsyndrome,alsoknownastripleedema.Inadditiontobeinghydropic,oneofthetwinswasanacardiacfetus,whichisararecombinationofevents.Gestationwasterminatedat22weeksandfivedaysbecauseofhighmaternalrisk.Thepatientprogressedwithclinicalandlaboratoryimprovement.Ourstudyisrelevantinthatitdocumentsanextremelyrarecaseanddiscussesrelevantaspectsofthesymptomsanddiagnosisofmirrorsyndrome.Italsosystematicallyreviewsthecondition.1.IntroductionMir

Mirror syndrome (MS) is a rare complication of fetal hydrops appearing as a triple edema (fetal, placental as well as maternal) [1], in which ...SkiptomaincontentAdvertisementSearchallBMCarticlesSearchDownloadPDFCasereportOpenAccessPublished:06April2018ResolutionofmaternalMirrorsyndromeaftersuccesfulfetalintrauterinetherapy:acaseseriesAngelChimenea1,LutgardoGarcía-Díaz1,AnaMaríaCalderón1,MaríaMoreno-DeLasHeras1&GuillermoAntiñolo1,2 BMCPregnancyandChildbirthvolume 18,Article number: 85(2018)Citethisarticle7904Accesses4Citations8AltmetricMetricsdetailsAbstractBackgroundMirrorsyndrome(MS)isarareobstetricconditionusuallydefinedasthedevelopmentofmaternaledemainassociationwithfetalhydrops.ThepathogenesisofMSremainsunclearandmaybemisdiagnosedaspre-eclampsia.CasepresentationWereportacaseseriesofMSinwhichfetaltherapy(intrauterinebloodtransfusionandpleuroamnioticshunt)resultedinfetalaswellasmaternalfavourablecoursewithcompleteresolutionoftheconditioninbothmotherandfetus.ConclusionsOurcaseseriesaddnewevidencetosupportthatearlydiagnosisofMSfollowedbyfetaltherapyandclinicalmaternalsupportarecriticalforagoodoutcome.PeerReviewreportsBackgroundMirrorsyndrome(MS)isararecomplicationoffetalhydropsappearingasatripleedema(fetal,placentalaswellasmaternal)[1],inwhichthemother“mirrors”thehydropicfetus.Thissyndromewasfirstdescribedin1892bytheScottishobstetricianJohnWilliamBallantyne[2].Therehavebeenmultiplefeto-placentaldiseasesrelatedtoMS,thatcanbeclassifiedintodiversegroupsbasedondifferentetiologies[3]:cardiacfailureassociatedwithfetalanemia(e.g.ParvovirusB19[4],erytroblastosis[5],fetalalloimmunethrombocytopenia[6],hemoglobinBart’sdisease[7]);high-outputcardiacfailureassociatedwithshunting(e.g.chorioangioma[8],twintotwintransfusionsyndrome[9,10,11,12,13]);andfetalanomalies(e.g.fetalarrhythmias[14],CHAOSsyndrome[15]).MSmaternalclinicalpictureincludesperipheraledema,uterinedistensionandrapidweightgain[3].Thosenonspecificclinicalfeaturesmayleadtoamisdiagnosisofpre-eclampsia,delayingdiagnosis

Mirror syndrome or triple edema or Ballantyne syndrome is a rare disorder affecting pregnant women. It describes the unusual association of fetal and ...MirrorsyndromeFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchMirrorsyndromeortripleedemaorBallantynesyndromeisararedisorderaffectingpregnantwomen.Itdescribestheunusualassociationoffetalandplacentalhydropswithmaternalpreeclampsia.[1]Thename"mirrorsyndrome"referstothesimilaritybetweenmaternaledemaandfetalhydrops.Itwasfirstdescribedin1892byJohnWilliamBallantyne.[2]Contents1Causes2Pathogenesis3Signsandsymptoms4Diagnosis5Differentialdiagnosis6Treatment7ReferencesCauses[edit]Theetiologymaybeanyofthevarietyofobstetricproblemsthatrangefromimmunologicaldisorders,includingRh-isoimmunization,tofetalinfections,metabolicdisorders,andfetalmalformations.[3][4][5][6]BallantynesyndromecanresultfromthematernalreactiontoafetusthathashemoglobinBartsdiseaseduetoinheriteddoublealphathalassemiatrait(alphathalassemiamajor)frombothparents.[7]Pathogenesis[edit]TheetiopathogeneticmechanismofBallantynesyndromeremainsunknown.Signsandsymptoms[edit]Ballantynesyndromehasseveralcharacteristics:edema,alwaysakeyfeaturealbuminuriaofthemother,usuallymildpreeclampsia,unusualThefetalsymptomsarerelatedtofluidretention,includingascitesandpolyhydramnios.[8]Fetalhydropssuggeststhepresenceofanimportantandprobablyfatalfetalpathology.ItcanbeassociatedwithparvovirusB19infectionandwithtwin-to-twintransfusionsyndrome.[9]Diagnosis[edit]AlthoughtheexactetiopathogeneticmechanismofBallantynesyndromeremainsunknown,severalauthorshavereportedraiseduricacidlevels,anemia,andlowhematocritwithouthemolysis.[1]Differentialdiagnosis[edit]Theproblemofdistinguishing(ornot)betweenBallantynesyndromeandpreeclampsiaisreflectedinthediversityofterminologyusedandinthedebatethatsurroundsthesubject.ItseemsmuchmorelikelythatanetiologyofseverefetalhydropsmaycauseBallantynesyndromewhenthefetalstatusgreatlyworsensandthatthesyndromeisonlyamanifestationoftheextremeseverityofthefet

Mirror syndrome or triple edema or Ballantyne syndrome is a rare disorder affecting pregnant women. It refers to the unusual association of fetal and ...×ArticlesLogInCasesSignUpCoursesQuizDonateAbout×MenuSearchADVERTISEMENT:Radiopaediaisfreethankstooursupportersandadvertisers.BecomeaGoldSupporterandseenoads.ArticlesCasesCoursesLogInLoginSignup{"url":"/signup-modal-props.json?lang=us\u0026email="}ArticlesCasesCoursesQuizAboutRecentEditsGoad-freeSearchMirrorsyndromeDrYurangaWeerakkody◉andRadswiki◉etal.MirrorsyndromeortripleedemaorBallantynesyndromeisararedisorderaffectingpregnantwomen.Itreferstotheunusualassociationoffetalandplacentalhydropswithmaternalpre-eclampsiaandedema.HistoryandetymologyItwasfirstdescribedin1892byJohnWilliamBallantyne.References1.LivingstonJC,MalikKM,CrombleholmeTMet-al.Mirrorsyndrome:anovelapproachtotherapywithfetalperitoneal-amnioticshunt.ObstetGynecol.2007;110(2Pt2):540-3.doi:10.1097/01.AOG.0000275259.03301.b2-Pubmedcitation2.GoedenAM,WorthingtonD.Spontaneousresolutionofmirrorsyndrome.ObstetGynecol.2005;106(5Pt2):1183-6.doi:10.1097/01.AOG.0000161062.95690.91-Pubmedcitation3.VidaeffAC,PschirrerER,MastrobattistaJMet-al.Mirrorsyndrome.Acasereport.JReprodMed.2002;47(9):770-4.-PubmedcitationPromotedarticles(advertising)EditarticleSharearticleViewrevisionhistoryReportproblemwithArticleURLofArticleArticleinformationrID:15064System:ObstetricsTags:stub,cases,syndromeSynonymsorAlternateSpellings:BallantynesyndromeTripleoedemaTripleedemaADVERTISEMENT:Supportersseefewer/noadsLoadingmoreimages...ClosePleaseNote:YoucanalsoscrollthroughstackswithyourmousewheelorthekeyboardarrowkeysLoadingStack-0imagesremainingEncyclopaediaBySection:AnatomyApproachArtificialIntelligenceClassificationsGamutsImagingTechnologyInterventionalRadiologyMnemonicsPathologyRadiographySignsStagingSyndromesBySystem:BreastCardiacCentralNervousSystemChestForensicGastrointestinalGynaecologyHaematologyHead&NeckHepatobiliaryInterventionalMusculoskeletalObstetricsOncologyPaediatricsSpineTrau

Mirror Syndrome is a rare condition during pregnancy that leads to preeclampsia in the mother. It is caused by fluid buildup in the baby, ...Sharethison:Complicationsduringpregnancycanbescary.Swellingandhighbloodpressurearesomewhatcommonduringpregnancy,andcanbetryingforthemother.Theycanalsobesignsofmoreseriousconditionsformomorbaby.NeverMissaBeat!SubscribetoOurHealthBeatNewsletter!(TapClick toJoin!)EnteryouremailtosubscribeContinuearray(25){["form_id"]=>string(0)""["title"]=>string(39)"SubscribetoOurHealthBeatNewsletter!"["subtitle"]=>string(0)""["category"]=>string(0)""["subcategory"]=>string(0)""["subscription1"]=>string(0)""["subscription2"]=>string(0)""["subscriptions"]=>string(0)""["trigger-send"]=>string(0)""["triggersends"]=>string(0)""["in-line"]=>string(4)"true"["animate"]=>string(0)""["animate-variation"]=>string(0)""["nmab"]=>string(0)""["widget"]=>string(0)""["font-color"]=>string(7)"#ffffff"["background-color"]=>string(0)""["buttontext"]=>string(8)"Continue"["exclude-healthbeat"]=>string(0)""["converted"]=>string(0)""["utm_source"]=>string(0)""["utm_medium"]=>string(0)""["utm_campaign"]=>string(0)""["utm_content"]=>string(0)""["utm_term"]=>string(0)""}Iunderstandthatbyprovidingmyemailaddress,IagreetoreceiveemailsfromUPMC.IunderstandthatImayoptoutofreceivingsuchcommunicationsatanytime.Thankyouforsubscribing!Youarealreadysubscribed.Sorry,anerroroccurred.Pleasetryagainlater.GetHealthyTipsSenttoYourPhone!EnteryourmobilephonenumberTextMeMessageanddataratesmayapply.TextSTOPtooptoutandHELPforhelp.Gotohttps://pages.upmc.com/termsforprivacyandterms.array(11){["id"]=>string(7)"sms-cta"["type"]=>string(4)"form"["title"]=>string(36)"GetHealthyTipsSenttoYourPhone!"["category"]=>string(0)""["subcategory"]=>string(0)""["keyword"]=>string(6)"HBEATS"["utm_source"]=>string(0)""["utm_medium"]=>string(0)""["utm_campaign"]=>string(0)""["utm_content"]=>string(0)""["utm_term"]=>string(0)""}MirrorSyndromeOneconditionthatyoumaynothaveheardofisMirrorSyndrome,alsoknownasBallantyn

Van Selm M在1991年在Obstetic and Gynaecol Survey提出Maternal hydrops syndrome的名詞，後來”Mirror syndrome”這個名詞被用來指出各種原因的胎兒的水腫和媽媽水腫並存的 ...top2.htmlef7.htm  長庚婦產通訊--第38期 Mirrorsyndrome林口院區詹耀龍醫師　　1892年Ballantyn首先提出胎兒的水腫會造成媽媽水腫的觀念…VanSelmM在1991年在ObsteticandGynaecolSurvey提出Maternalhydropssyndrome的名詞，後來”Mirrorsyndrome”這個名詞被用來指出各種原因的胎兒的水腫和媽媽水腫並存的狀況，好像媽媽的生理情況在反映胎兒的情況一般。

　　臨床上Mirrorsyndrome的媽媽會表現出類似子癲前症的（pseudopreeclampsia）表現，有嚴重水腫，高血壓跟尿蛋白，雖然Mirrorsyndrome跟子癲前症的形成原因並不認為相同，通常Mirrorsyndrome的胎兒的預後都不佳，但是常發現胎兒死亡後或者胎兒水腫消失之後媽媽的情況就會隨之改善。

　　Mirrorsyndrome在臨床上發生的機率還不是很清楚，但是相當少見，我們提出一位三胞胎懷孕的媽媽並有第四期雙胞胎輸血症候群，在19週表現出子癲前症的現象，經由選擇性減胎手術之後，其高血壓和水腫也在術後第二天就獲得改善，術後我們把她診斷為Mirrorsyndrome。

案例報告　　這是一位26歲的媽媽，第一次懷孕，一開始在懷孕8週左右被診斷為雙胞胎懷孕，然後在14週左右被告知是三胞胎懷孕，在例行19週產撿時發現有一個胎兒有水腫的情況發生，而且有羊水過多的現象被發現，這個時候媽媽有高血壓和尿蛋白的情況發生，於是她被轉介到我們醫院做進一步的治療。

　　超音波發現這是一個雙胎盤的三胞胎懷孕，兩女一男，但是這兩女胎兒，一個羊水過多（MVP=10cm），一個羊水過少（MVP=0cm），而且羊水過多的女胎兒有水腫現象，所以被診斷為第四期雙胞胎輸血症候群。

　　孕婦的血液有輕度的貧血（Hb:10.2g/dl），生化檢查發現LDH（乳酸脫氫同功酵素）升高到1042u/l，尿液檢查發現有尿蛋白150mg/dl。

　　經過跟孕婦跟家屬的討論，因為這是一個前壁胎盤的三胞胎，而且這兩個被雙胞胎輸血症候群所影響的女胎兒的臍帶相距只有2.5公分，做胎兒內視鏡雷射手術困難度太高，所以我們選擇把這個水腫的女嬰進行減胎手術。

　　在入院第二天，在超音波引導之下，我們使用3.5mmtrocar和使用雙極電燒把這個水腫的胎兒的臍帶血流給截斷，術後第一天，媽媽的血壓從160/110mmhg降到130/80mmhg，而且水腫也逐漸減少，乳酸脫氫同功酵素在術後第一天降到90u/l。

　　術後第一天超音波發現一男一女心跳，但是這一女胎兒之臍動帶血流都卜勒撿查並不正常：有absenceofend-diastolicvelocity的現象，術後第二天，女胎兒之心跳消失，但是男胎兒的狀況依然良好。

　　媽媽在術後第四天出院，兩個星期之後回診，血壓為120/70mmhg，體重由入院之85公斤減為81公斤，且男寶寶心跳跟發育良好。

　　Mirrorsyndrome發生的原因並不是很清楚，而且被報導出來的病例數也不多，在三胞胎並第四期雙胞胎輸血症候群的病例更是稀少，而且我們這一個病例是很好的模式：可以利用把水腫的胎兒選擇性減胎之後，而使得媽媽水腫跟高血壓的情況獲得逆轉.，這樣可以用來證明媽媽水腫跟高血壓的情況，是因為這個水腫的胎兒所引起。

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Introduction: Mirror syndrome, also referred to as Ballantyne's syndrome, is normally defined as the development of maternal edema in association with fetal ...Clipboard,SearchHistory,andseveralotheradvancedfeaturesaretemporarilyunavailable.SkiptomainpagecontentCOVID-19InformationPublichealthinformation(CDC)Researchinformation(NIH)SARS-CoV-2data(NCBI)Preventionandtreatmentinformation(HHS)Español AccesskeysNCBIHomepageMyNCBIHomepageMainContentMainNavigationSearch:SearchAdvancedClipboardUserGuideSaveEmailSendtoClipboardMyBibliographyCollectionsCitationmanagerDisplayoptionsDisplayoptionsFormatAbstractPubMedPMIDSavecitationtofileFormat:Summary(text)PubMedPMIDAbstract(text)CSVCreatefileCancelEmailcitationSubject:1selecteditem:20357423-PubMedTo:Format:SummarySummary(text)AbstractAbstract(text)MeSHandotherdataSendemailCancelAddtoCollectionsCreateanewcollectionAddtoanexistingcollectionNameyourcollection:Namemustbelessthan100charactersChooseacollection:UnabletoloadyourcollectionduetoanerrorPleasetryagainAddCancelAddtoMyBibliographyMyBibliographyUnabletoloadyourdelegatesduetoanerrorPleasetryagainAddCancelYoursavedsearchNameofsavedsearch:Searchterms:TestsearchtermsWouldyoulikeemailupdatesofnewsearchresults?SavedSearchAlertRadioButtonsYesNoEmail:(change)Frequency:MonthlyWeeklyDailyWhichday?ThefirstSundayThefirstMondayThefirstTuesdayThefirstWednesdayThefirstThursdayThefirstFridayThefirstSaturdayThefirstdayThefirstweekdayWhichday?SundayMondayTuesdayWednesdayThursdayFridaySaturdayReportformat:SummarySummary(text)AbstractAbstract(text)PubMedSendatmost:1item5items10items20items50items100items200itemsSendevenwhentherearen'tanynewresultsOptionaltextinemail:SaveCancelCreateafileforexternalcitationmanagementsoftwareCreatefileCancelYourRSSFeedNameofRSSFeed:Numberofitemsdisplayed:510152050100CreateRSSCancelRSSLinkCopyFulltextlinksS.KargerAG,Basel,SwitzerlandFulltextlinksActionsCiteFavoritesDisplayoptionsDisplayoptionsFormatAbstractPubMedPMIDSharePermalinkCopyPagenavigationTitle&authorsAbs