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ICSI in Immotile Sperm
Title: therapeutic approach of immotile cilia syndrome by intracytoplasmic sperm injection: a case report
Author: J. Papadimas
Address: Thessaloniki, Greece
Source: Fertility and Sterility 67:562-565, 1997 (March)
Synopsis: Two cycles of ICSI resulted in transfer of normal appearing cleaving using sperm from a 40 year-old male with 4 years of infertility, normal semen except for total absence of sperm motility, and chronic pulmonary infection.
Comment: This appears to be the first reported case of successful treatment of this form of male infertility. It would be a more important report, if a pregnancy had resulted, or if the patent had a more fully documented medical and family history. Previously, it has not been known whether ICSI would result in embryonic development in these patients. There is a spectrum of inherited disorders affecting ciliated cells throughout the body that been referred to as "sick cilia syndrome". By electron microscopy, dynein a contractile protein in a sperm tail which is responsible for its movement, is reduced, or missing. In the respiratory system, ciliated cells clear mucus and secretions. An abnormality in these cells predisposes the patient to chronic bronchial and sinus infections. In one instance, this disorder is associated with situs inversus, a reverse in the location of the heart to the right side of the body known as Kartagener's syndrome. While these disorders are not common, one must be aware of the disorder and its implications.