{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:34:28Z","timestamp":1790775268075,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2005,5,26]],"date-time":"2005-05-26T00:00:00Z","timestamp":1117065600000},"content-version":"vor","delay-in-days":7116,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Teratology"],"published-print":{"date-parts":[[1985,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>While the warfarin embryopathy is well defined, central nervous system abnormalities associated with gestational warfarin exposure require further definition. Based on the timing of warfarin exposure in humans, it has been proposed that second\u2010 and third\u2010trimester exposure predisposes to CNS abnormalities while first\u2010trimester exposure more typically is associated with the warfarin embryopathy. A case is presented of a liveborn male with Dandy Walker malformation, agenesis of the corpus callosum, and Peter anomaly of the right eye who was exposed to warfarin between the 8th and 12th weeks of gestation who had none of the stigmata of the warfarin embryopathy. His is the first known case of exposure confined to the first trimester, and the fifth case of Dandy Walker malformation among a total of 15 CNS cases associated with this drug. This case offers evidence that Dandy Walker malformation may represent a distinct complication of in utero first\u2010trimester exposure, and consideration of these particular abnormalities with exposure limited to a period prior to the known appearance of vitamin K\u2010dependent clotting factors suggests that warfarin has a direct teratogenic effect on central nervous system morphogenesis.<\/jats:p>","DOI":"10.1002\/tera.1420320302","type":"journal-article","created":{"date-parts":[[2005,6,11]],"date-time":"2005-06-11T14:55:52Z","timestamp":1118501752000},"page":"333-337","source":"Crossref","is-referenced-by-count":47,"title":["Congenital Dandy Walker malformation associated with first trimester warfarin: A case report and literature review"],"prefix":"10.1002","volume":"32","author":[{"given":"Lawrence C.","family":"Kaplan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,5,26]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(76)92700-8"},{"key":"e_1_2_1_3_1","first-page":"469","article-title":"Pregnancy and delivery of a patient with a Starr\u2010Edwards mitral valve prosthesis","volume":"28","author":"DiSaia P. 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Hyg."}],"container-title":["Teratology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Ftera.1420320302","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/tera.1420320302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T21:20:24Z","timestamp":1697923224000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/tera.1420320302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,12]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1985,12]]}},"alternative-id":["10.1002\/tera.1420320302"],"URL":"https:\/\/doi.org\/10.1002\/tera.1420320302","archive":["Portico"],"relation":{},"ISSN":["0040-3709","1096-9926"],"issn-type":[{"value":"0040-3709","type":"print"},{"value":"1096-9926","type":"electronic"}],"subject":[],"published":{"date-parts":[[1985,12]]}}}