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Spectrum of holoprosencephaly

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Abstract

Objective : To conduct a clinical study of holoprosencephaly (HPE).Method : Thirteen cases of HPE were studied regarding their clinical features, family history, and prenatal and imaging studies. Chromosomal analysis was done whenever fresh sample was available.Results : Six cases were antenatally detected by ultrasound; four cases were stillborn. Three cases were identified by neuroimaging done a part of evaluation of developmental delay or cleft lip. Eleven of them had facial anomalies characteristics of HPE. Two of these had subtle facial features and microcephaly. Karyotype was abnormal in 2 of 7 cases studied.Conclusion : Most of the cases of HPE present antenatally or at birth. Milder forms like lobar and semilobar can present as developmental delay during infancy. Facial anomalies are usually associated with HPE. Chromosomal study of the case and clinical examination of the parents is essential for providing information regarding risk of recurrence to the family.

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References

  1. Cohen MM Jr. Perspectives on holoprosencephaly. Part I. Epidimiology, genetics and syndromology.Teratology 1989a; 40:211–235.

    Article  PubMed  Google Scholar 

  2. Cohen MM Jr. Perspectives on holoprosencephaly. Part III. Spectra, distinctions, continuities and discontinuities.Am J Med Genet 1989b; 34:271–288.

    Article  PubMed  Google Scholar 

  3. DeMyer WE, Zeman W, Palmer CG. The face predicts the brain: Diagnostic significance of median facial anomalies for holoprosencephaly (arrhinencephaly).Pediatrics 1964; 34:256–263.

    PubMed  CAS  Google Scholar 

  4. Cohen MM Jr, Sulik KK. Perspectives on holoprosencephaly, Part II.Central nervous system, craniofacial anatomy, syndrome commentary, diagnostic approach and experimental studies.J Craniofacial Genet Dev Biol 1992; 12:196–224.

    Google Scholar 

  5. Oslen CL, Hughes JP, Youngblood LG, Sharpe-Stimae M. Epidimiology of holoprosencephaly and phenotypic characterstics of affected children: New York State 1984-1989.Am J Med Genet 1997; 73:217–226

    Article  Google Scholar 

  6. Matsunaga E, Shiota K. Holoprosencephaly in human embryos: Epidimiologic study of 150 cases.Teratology 1977; 16: 261–272.

    Article  PubMed  CAS  Google Scholar 

  7. Rasmussen SA, Moore CA, Khoury MJ, Corder JF. Descriptive epidimiology of holoprosencephaly and arhinencephaly in metropolitan Atlanta. 1968-1992.Am J Med Genet 1996; 66:320–333.

    Article  PubMed  CAS  Google Scholar 

  8. Roach E, De Myer W, Palmer Ket al. Holoprosencephaly: Birth data, genetic and demographic analysis of 30 families.Birth Defects 1975; 11(2): 294–313.

    PubMed  CAS  Google Scholar 

  9. Croen LA, Shaw GM, Lammer EJ. Holoprosencephaly: epidemiology and clinical characterstics of a California population.Am J Med Genet 1996; 64:465–472.

    Article  PubMed  CAS  Google Scholar 

  10. DeMyer, W. Holoprosencephaly (Cyclopia-arhinencephaly). In PJ. Vinken and G. W. Bruyn, eds.Handbook of Clinical Neurology. Amsterdam, North Holland Publishing Co., 1977, ch. 18, 431–478.

    Google Scholar 

  11. Sedano HO, Gorlin RJ. The oral manifestations of cyclopia.Oral Surg 1963; 16: 823–838.

    Article  PubMed  CAS  Google Scholar 

  12. Apacik CS, Rivero M, Knepper JLet al. SONIC HEDGEHOG mutations causing human holoprosencephaly impair neural patterning activity.Hum Genet 2003; 113:170–177.

    Google Scholar 

  13. Roessler E, Belloni E, Gaudenz Ket al. Mutations in humansonic hedge hog gene cause holoprosencephaly.Nat Genet 1996; 14:357–360.

    Article  PubMed  CAS  Google Scholar 

  14. Brown SA, Warburton D, Brown LY. Holoprosencephaly due to mutations in ZIC2, a homologue of Drosophila odd-paired.Nat Genet 1998; 20:180–183.

    Article  PubMed  CAS  Google Scholar 

  15. Wallis D, Muenke M. Mutations in holoprosencephaly.Hum Mutat 2000; 16:99–108.

    Article  PubMed  CAS  Google Scholar 

  16. Gripp KW, Wotton D, Edwards MCet al. Mutations in TGIF cause holoprosencephaly and link NODAL signaling to human neural axis determination.Nat Genet 2000; 25:205–208.

    Article  PubMed  CAS  Google Scholar 

  17. Roessler E, Du Y, Ginka A, Dutra A, Neihrs C, Muenke M. The genomic structure, chromosome location, and analysis of human DKK1 head inducer gene as a candidate for holoprosencephaly.Cytogenet Cell Genet 2000; 89: 220–224.

    Article  PubMed  CAS  Google Scholar 

  18. Ming JE, Kaupas ME, Roessler Eet al. Mutations in PATCHED-1, the receptor for SONIC HEDGEHOG are associated with holoprosencephaly.Human Genet 2002; 110:297–301.

    Article  CAS  Google Scholar 

  19. De La Cruz JM, Bamford RN, Burdine RDet al. A loss of function mutation in the CFC domain of TDGF1 is associated with human forebrain defects.Human Genet 2002;110:422–428

    Article  Google Scholar 

  20. Naini L, Ming JE, Steinhaus Ket al. The mutational spectrum of sonic hedge hog gene in holoprosencephaly: SHH mutation cause a significant proportion of autosomal dominant holoprosencephaly.Hum Mol Genet 1999; 8:2479–2488.

    Article  Google Scholar 

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Correspondence to Shubha R. Phadke.

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Thakur, S., Singh, R., Pradhan, M. et al. Spectrum of holoprosencephaly. Indian J Pediatr 71, 593–597 (2004). https://doi.org/10.1007/BF02724118

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