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Published on: August 5, 2017
Fetal alcohol spectrum disorder: report of one case
Yi-Chen Huang1, Hsin-Yu Lo, Wun-Tsong Chaou
1Department of Child Neurology, Puli Christian Hospital, Nanton, Taiwan.
Insights
This case highlights fetal alcohol spectrum disorder (FASD) in an Aboriginal boy with developmental delays. Maternal alcohol use during pregnancy is linked to FASD, emphasizing the need for abstinence.
Area of Science:
- Pediatrics
- Neurology
- Genetics
Background:
- Fetal Alcohol Spectrum Disorder (FASD) is a spectrum of neurodevelopmental disorders caused by prenatal alcohol exposure.
- Early diagnosis and intervention are crucial for managing FASD.
- Identifying FASD in diverse populations is important for understanding its prevalence and impact.
Observation:
- A 7-year-old Aboriginal boy presented with learning difficulties.
- Physical examination revealed dysmorphic features including microcephaly, a broad nasal bridge, thin upper lip, smooth philtrum, epicanthal folds, and clinodactyly.
- Brain MRI showed abnormal findings, and the patient exhibited mild intellectual disability and language delay.
Findings:
- The patient's clinical presentation and maternal history of significant alcohol consumption during pregnancy strongly indicated a diagnosis of Fetal Alcohol Spectrum Disorder (FASD).
- The constellation of physical, cognitive, and neuroimaging findings aligns with established FASD criteria.
- This case underscores the potential for FASD to be misdiagnosed as idiopathic developmental delay.
Implications:
- Prenatal alcohol exposure can lead to a range of developmental issues, including intellectual disability and language deficits.
- Healthcare providers should consider FASD in children with unexplained developmental delays, even with limited maternal reporting of alcohol use.
- Promoting complete abstinence from alcohol during pregnancy is vital to prevent FASD and its lifelong consequences.
Abstract:
One seven-year-old aboriginal boy visited our outpatient department for survey of study difficulty. The physical examination revealed microcephaly, broad depressed nasal bridge, thin upper lip, smooth philtrum, epicanthal folds and clinodactyly. He also had mild mental retardation and abnormal findings on brain MRI. His mother had confirmed daily alcoholic consumption (72 to 144 gm) during pregnancy. Besides the short stature and microcephaly, the patient had developmental delay in language. According to the history, clinical presentation, and the finding of brain imaging, this case matches the diagnosis of fetal alcohol spectrum disorder. It seems reasonable to consider that some cases with the idiopathic developmental delay may fit in this disorder, thus suggesting the importance of total abstinence from alcohol during pregnancy.
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