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Neurulation is the embryological process which forms the precursors of the central nervous system and occurs after gastrulation has established the three primary cell layers of the embryo: ectoderm, mesoderm, and endoderm. In humans, the majority of this system is formed via primary neurulation, in which the central portion of the ectoderm—originally appearing as a flat sheet of cells—folds upwards and inwards, sealing off to form a hollow neural tube. As development proceeds, the anterior...
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Updated: Jul 13, 2026

A Novel Strategy Combining Array-CGH, Whole-exome Sequencing and In Utero Electroporation in Rodents to Identify Causative Genes for Brain Malformations
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Genetic Predisposition in Müllerian Malformations: A Case Report.

Alejandro Rendón-Molina1, Andrea Olguín-Ortega1

  • 1Department of Gynecology, National Institute of Perinatology, Mexico City, MEX.

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|July 18, 2025
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Summary

Müllerian malformations (MM), congenital anomalies of the female reproductive tract, can run in families. Early recognition of these hereditary patterns is crucial for better reproductive health outcomes.

Keywords:
bicornuate uterusgenetic predispositionlongitudinal vaginal septummüllerian malformationspathology regarding infertility

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Area of Science:

  • Reproductive Medicine
  • Medical Genetics
  • Gynecology

Background:

  • Müllerian malformations (MM) are congenital anomalies of the female reproductive tract.
  • These anomalies may have a hereditary component, suggesting a genetic predisposition.
  • Understanding familial patterns is key to diagnosing and managing MM.

Observation:

  • A 20-year-old woman presented with tampon and menstrual cup insertion difficulties.
  • She had a family history of MM: mother and grandmother with longitudinal vaginal septa, aunt with a bicornuate uterus.
  • Physical examination revealed a 3 cm longitudinal vaginal septum.

Findings:

  • Magnetic resonance imaging (MRI) confirmed a 4 cm vaginal septum in the lower two-thirds of the vagina.
  • No uterine or cervical abnormalities were detected in the patient.
  • Surgical resection of the vaginal septum was performed successfully.

Implications:

  • This case highlights the importance of considering family history in MM diagnosis.
  • Early evaluation and genetic counseling can improve reproductive outcomes.
  • Prompt surgical intervention can resolve associated complications effectively.