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Holoprosencephaly sequence.
Elena Coletă1, Mirela Siminel, Mihaela Gheonea
1Department of Neonatology, University of Medicine and Pharmacy of Craiova, Romania. coletaelena@hotmail.com
Summary
Holoprosencephaly (HPE) is a rare birth defect affecting brain and face development. This case report details a male newborn with HPE, cleft palate, absent nasal bones, and chromosomal abnormalities.
Area of Science:
- Developmental Biology
- Medical Genetics
Background:
- Holoprosencephaly (HPE) is a congenital disorder characterized by the incomplete separation of the embryonic forebrain.
- It presents a spectrum of facial and cerebral malformations, with subtypes including lobar, semi-lobar, alobar, and middle inter-hemispheric variant (MIHF).
- HPE has a heterogeneous etiology, involving teratogens, chromosomal abnormalities, and single gene mutations, leading to significant early morbidity and mortality.
Observation:
- This case report focuses on a male newborn diagnosed with holoprosencephaly.
- The infant presented with distinct facial anomalies, specifically a median cleft palate and absent nasal bones.
- Associated chromosomal abnormalities were identified in the neonate.
Findings:
- The diagnosis of holoprosencephaly was confirmed in the newborn male.
- The presence of median cleft palate and absent nasal bones are key clinical findings.
- The identified chromosomal abnormalities contribute to the understanding of HPE etiology in this case.
Implications:
- This case highlights the complex presentation of holoprosencephaly, emphasizing the link between facial dysmorphism and underlying genetic factors.
- Understanding the specific chromosomal abnormalities associated with HPE is crucial for genetic counseling and family planning.
- Further research into HPE etiology and management is warranted to improve outcomes for affected individuals.

