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Holoprosencephaly

Definition

Brain abnormality resulting from the failure of the two lobes to divide
Incidence 1:16000 births
Diagnosis Ultrasound features of absent midline structures (cavum septum pelucidi, falx cerebri etc.)
Gestation at diagnosis 12 weeks onwards
Known chromosomal or genetic association Yes, associated Trisomy 13. Genetically autosomally dominant, recessive and X-linked inheritance has been described
Further investigations Karyotype. Consider MRI
Differential Diaganosis

Hydrancephaly

Aqueductal stenosis

Porencephaly

Prognosis Poor.  Many fetuses will die in-utero, if survive children usually die in early childhood and are severely handicapped
Recurrance risk Low if not part of hereditary syndrome
Research Studies None

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