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Cebocephaly
Form of holoprosencephaly resulting in a single nostril
Form of holoprosencephaly resulting in a single nostril
| Field | Value |
|---|---|
| name | Cebocephaly |
| image | Cebocephaly (2).png |
| caption | Cebocephaly in a 4-month-old girl as a result of 18p- |
| symptoms | Close-set eyes, flat nose, single nostril |
| causes | Genetic conditions, some vertically transmitted infections |
| diagnosis | Before birth: ultrasound |
| prognosis | Poor (high mortality) |
| frequency | 1 in 40,000 deliveries |
After birth: symptoms, CT scan
Cebocephaly (from Greek kebos, "monkey" + kephale, "head") is a developmental anomaly that is part of a group of defects called holoprosencephaly. Cebocephaly involves the presence of two separate eyes set close together and a small, flat nose with a single nostril (no nasal septum). It may be diagnosed before or after birth. It has a very poor prognosis, with most affected infants dying soon after birth. It is very rare, having been estimated to affect around 1 in 40,000 deliveries.
Signs and symptoms
Cebocephaly causes:
- two separate eyes set close together
- a small, flat nose with a single nostril
- ear abnormalities
- mouth abnormalities (such as microstomia)
The presence of a nasal septum precludes a diagnosis of cebocephaly. Cebocephaly may cause malformations of the sphenoid and ethmoid bones behind the orbit.
Cause
Cebocephaly can be caused by many factors, particularly genetic variations. These include 18p-, 14q deletion, 13q deletion, and some vertically transmitted infections. It is part of a group of defects called holoprosencephaly.
In syndromes
Cebocephaly is associated with Patau syndrome, Hartsfield syndrome, and Smith-Lemli-Opitz syndrome
Diagnosis
Before birth, cebocephaly may sometimes be diagnosed using ultrasound. After birth, cebocephaly is diagnosed based on the characteristic symptoms. A CT scan may be used to confirm the diagnosis.
Prognosis
Most infants born with cebocephaly die soon after birth.
Epidemiology
Cebocephaly is very uncommon. Some estimates of its prevalence include 1 in 40,000 neonatal deliveries.
History
The word "cebocephaly" is derived from Greek kebos (monkey), and kephale (head).
References
References
- (1990). "An anatomic comparison of cebocephaly and ethmocephaly". [[Teratology]].
- (1 April 1968). "Short Arm Deletion of Chromosome 18 in Cebocephaly". [[American Journal of Diseases of Children]].
- (2011). "Head and Neck Imaging". Mosby, Elsevier.
- (1976-08-01). "Further studies on the genetic heterogeneity of cebocephaly.". Journal of Medical Genetics.
- (1997-09-01). "Prenatal diagnosis of de novo proximal interstitial deletion of 14q associated with cebocephaly.". Journal of Medical Genetics.
- (1998). "Prenatal diagnosis of de novo isochromosome 13q associated with microcephaly, alobar holoprosencephaly and cebocephaly in a fetus". Prenatal Diagnosis.
- (1 September 2005). "A case of holoprosencephaly and cebocephaly associated to torch infection". [[International Journal of Pediatric Otorhinolaryngology]].
- (1970). "27. CEBOCEPHALY:A Report of Three New Cases". Acta Paediatrica.
- (1 March 1997). "Cebocephaly, alobar holoprosencephaly, spina bifida, and sirenomelia in a stillbirth.". [[Journal of Medical Genetics]].
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