obsolete vascular lesions of cord complicating labor and delivery

Vascular Lesions of Cord Complicating Labor and Delivery

Vascular lesions of the umbilical cord are rare complications that can occur during pregnancy, labor, and delivery. These lesions can cause significant distress to both mother and baby.

• Types of Vascular Lesions: The context mentions various types of vascular lesions, including umbilical vein varix (UVV), which is a rare, idiopathic, focal dilatation of the umbilical vein [7].
• Causes and Risk Factors: While the exact causes of these lesions are not well understood, they can be associated with uteroplacental vascular lesions, especially infarcts [8]. The incidence of such lesions is lower in comparison to other pregnancy complications.
• Symptoms and Complications: Vascular lesions of the cord can lead to labor and delivery complications, including fetal distress, neurological disability, and urological issues [1].
• ICD-10 Codes: These conditions are classified under ICD-10 codes O69.5XX0 and O69.5XX1, which specify labor and delivery complicated by vascular lesion of cord, not applicable or unspecified, and labor and delivery complicated by vascular lesion of cord, fetus 1, respectively [11][14].
• Treatment Options: Unfortunately, treatment options for children with vascular tumors are limited, and efficacy has not been validated in prospective clinical trials [5].

It's essential to note that these complications are rare and require immediate medical attention. If you suspect any unusual symptoms or complications during pregnancy, labor, or delivery, consult a healthcare professional promptly.

References: [1] - Dysraphism involves closed skin-covered lesions, in which the cord is tethered. [7] - Umbilical vein varix (UVV) is a rare, idiopathic, focal dilatation of the umbilical vein. [8] - Histologically, it is characterized by the presence of uteroplacental vascular lesions (especially infarcts), although the incidence of such lesions is lower... [11] - ICD-10-CM Code for Labor and delivery complicated by vascular lesion of cord O69.5 [14] - O69.5XX1 is a valid billable ICD-10 diagnosis code for Labor and delivery complicated by vascular lesion of cord, fetus 1.

Based on the provided context, it appears that there are various types of vascular lesions affecting the spinal cord that can complicate labor and delivery. Here are some signs and symptoms associated with these conditions:

• Weakness or paralysis below the level of the lesion: This is a common symptom described by patients, which can affect walking and/or upper limb function [7].
• Difficulty in walking or climbing stairs: Early symptoms may include numbness, tingling, or sudden pain in legs, making it challenging to perform daily activities [7].
• Urinary retention or incontinence: These symptoms can indicate a spinal cord problem, with urinary retention suggesting a lesion affecting the upper motor neurons and urinary incontinence indicating a cauda equina lesion [6].
• Numbness, tingling, or sudden pain in legs: These symptoms may appear suddenly or gradually, depending on the type of vascular malformation [7].
• Hypertonicity of thoracic limb muscles and hyperextension of the neck: This is known as the Schiff-Sherrington sign, which can be seen in certain types of spinal cord injuries [10].

It's essential to note that these symptoms can vary depending on the location and type of vascular lesion affecting the spinal cord. A proper diagnosis by a medical professional is crucial for determining the underlying cause of these symptoms.

References:

[6] Symptoms described by patients include weakness below the level of the lesion, with difficulties in walking and/or in upper limb function. [7] Early symptoms may include: Numbness, tingling, or sudden pain in legs; Problems with walking or climbing stairs; Weakness on one or both sides... [10] The Schiff–Sherrington sign (syndrome or phenomenon) consists of hypertonicity of thoracic limb muscles and hyperextension of the neck...

Based on the provided context, it appears that there are several diagnostic tests that can be used to identify vascular lesions of the umbilical cord that may complicate labor and delivery.

• Color Doppler ultrasound is a useful tool for assessing the umbilical cord, particularly in the second half of pregnancy. It can help detect conditions such as vasa previa, prolapsed cord, and hernia of the cord (Context 2).
• Magnetic Resonance Imaging (MRI) is considered the best imaging technique to diagnose vascular anomalies, including those affecting the umbilical cord (Context 11). MRI scans may be used to diagnose placental insufficiency in some cases (Context 14).
• Percutaneous blood sampling (PUBS) can also be performed under ultrasound guidance to allow placement of a small gauge needle and collect blood samples from the umbilical cord (Context 12).
• Amniotic fluid analysis may be used to detect bacteria or other abnormalities that could indicate vascular lesions affecting the umbilical cord (Context 13).

It's worth noting that these diagnostic tests are typically performed in cases where there is a suspicion of vascular anomalies or complications during pregnancy. A definitive diagnosis can often be made by analyzing amniotic fluid with methods to detect bacteria, such as Gram stain, culture, or microbial DNA analysis (Context 13).

In some cases, percutaneous umbilical cord sampling may also be used to diagnose genetic conditions affecting the fetus (Context 15). However, this test is not directly related to vascular lesions of the umbilical cord.

Overall, a combination of these diagnostic tests can help identify vascular lesions of the umbilical cord that may complicate labor and delivery.

Based on the provided context, it appears that there are various treatment options for vascular lesions of the cord complicating labor and delivery.

• Some common treatment options may include medications, surgical procedures, lifestyle changes, and physical therapy. In some cases, a combination of these approaches may be used [6].
• Targeted therapies for certain types of vascular lesions, such as CM-AVM, include Trametinib, while those for sporadic AVMs include bevacizumab, thalidomide, and Trametinib [4].

However, it's essential to note that the specific treatment approach may depend on the type and severity of the vascular lesion, as well as individual patient factors.

• For example, in cases where the vascular lesion is caused by a congenital condition such as HHT (Osler-Weber-Rendu syndrome), targeted therapies like bevacizumab or thalidomide may be considered [4].
• In contrast, for more common types of vascular lesions, such as arteriovenous malformations (AVMs), treatment options may include surgical resection, embolotherapy, or a combination of these approaches [13].

It's also worth noting that the management of vascular lesions during labor and delivery can be complex and requires careful consideration of various factors.

• For instance, in cases where the vascular lesion is located near the placenta, there may be concerns about bleeding or other complications during delivery [1].
• In such situations, a multidisciplinary approach involving obstetricians, neonatologists, and vascular specialists may be necessary to ensure optimal care for both mother and baby.

Overall, while there are various treatment options available for vascular lesions complicating labor and delivery, the specific approach will depend on individual patient factors and the type of lesion involved.

Based on the provided context, it appears that you are looking for information on the differential diagnosis of vascular lesions of the cord that may complicate labor and delivery.

According to search result [12], ICD-9-CM 663.6 is a code used to describe diseases, injuries, symptoms, and conditions related to vascular lesions of the cord complicating labor and delivery. However, this code has been replaced by ICD-10 codes.

The differential diagnosis for spinal cord injury in neonates presenting with flaccid paralysis includes brachial plexopathy, intracranial injury, and other conditions [7]. Similarly, the differential diagnosis for vertebral lesions is very wide and includes various conditions such as intraosseous hemangioma, metastases, Paget disease, multiple myeloma, osteonecrosis, vertebral body osteomyelitis, lymphoma, plasmacytoma, giant cell tumor, Langerhans cell histiocytosis, fibrous dysplasia, Ewing sarcoma, and osteochondroma [15].

In the context of vascular lesions of the cord complicating labor and delivery, it is essential to consider other conditions that may present similarly. These include cerebral anoxia, myelodysplasia, infantile spinal muscular atrophy, and cerebral palsy [9]. Additionally, vasa praevia is a rare condition in which fetal blood vessels cross the fetal membranes of the lower segment of the uterus below the presenting part [6].

It's worth noting that diagnosing and differentiating spinal vascular pathologic conditions can be challenging due to small structures, lengthy imaging examinations, and overlapping imaging features [14]. However, subtle findings and helpful protocols can narrow the differential diagnosis.

In terms of specific codes for obsolete vascular lesions of cord complicating labor and delivery, ICD-9-CM 663.6 was used in medical billing and coding to describe diseases, injuries, symptoms, and conditions related to this condition. However, as mentioned earlier, this code has been replaced by ICD-10 codes.

References:

[6] Vasa praevia is a rare condition in which fetal blood vessels cross the fetal membranes of the lower segment of the uterus below the presenting part. [7] Differential diagnosis of spinal cord injury in the neonate presenting with flaccid paralysis includes brachial plexopathy, intracranial injury ... [9] The differential diagnosis for vertebral lesions is very wide and includes various conditions such as intraosseous hemangioma, metastases, Paget disease, multiple myeloma, osteonecrosis, vertebral body osteomyelitis, lymphoma, plasmacytoma, giant cell tumor, Langerhans cell histiocytosis, fibrous dysplasia, Ewing sarcoma, and osteochondroma. [12] Vascular lesions of cord complicating labor and delivery, delivered, with or without mention of antepartum condition Short description: Vasc lesion cord-deliver. ICD-9-CM 663.61 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 663.61 should only be used for claims with a date of service on ... [14] Diagnosing and differentiating spinal vascular pathologic conditions is challenging. Small structures, lengthy imaging examinations, and overlapping imaging features increase the difficulty. Yet, subtle findings and helpful protocols can narrow the differential diagnosis. [15] Differential diagnosis Vertebral body origin. intraosseous hemangioma. metastases. Paget disease. multiple myeloma. osteonecrosis. vertebral body osteomyelitis. lymphoma. plasmacytoma. giant cell tumor. Langerhans cell histiocytosis. fibrous dysplasia. Ewing sarcoma. osteochondroma ...