Spalding sign

Case contributed by Kabil kumar loganathan
Diagnosis certain

Presentation

Antenatal ultrasound due to absent fetal movements at 28 weeks of gestation.

Patient Data

Age: 25 years
Gender: Female

2D ultrasound

ultrasound

Axial 2D ultrasound image of fetal head showing overlapping of the fetal skull bones caused by collapse of the fetal brain.

Case Discussion

The Spalding sign refers the overlapping of the fetal skull bones caused by the collapse of the fetal brain.  It appears usually a week or more after fetal demise in utero. 

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