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Hydranencephaly in twins

H Yoshioka, A Yoshida, M Ochi

    Brain & Development
    |January 1, 1980
    PubMed
    Summary
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    This report details the sixth case of hydranencephaly in a twin, an 11-year-old girl whose twin was stillborn. Intrauterine disseminated intravascular coagulation is a potential cause for this rare condition.

    Area of Science:

    • Perinatology
    • Neurology
    • Teratology

    Background:

    • Hydranencephaly is a rare congenital disorder characterized by the absence of cerebral hemispheres.
    • Twin gestations present unique challenges and risks for congenital anomalies.
    • Disseminated intravascular coagulation (DIC) is a serious condition involving widespread clotting and bleeding.

    Observation:

    • Presents the sixth reported case of hydranencephaly occurring in a twin pregnancy.
    • The affected individual is an 11-year-old female.
    • Her co-twin was stillborn and macerated, suggesting significant intrauterine complications.

    Findings:

    • The case highlights the association between hydranencephaly and twin gestations.
    • Intrauterine disseminated intravascular coagulation (DIC) is proposed as a potential etiology for hydranencephaly in this specific twin case.

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  • This suggests a possible mechanism linking maternal or fetal coagulation disorders to severe brain malformations.

    • Implications:

    • Understanding the pathophysiology of hydranencephaly in twins is crucial for improved prenatal diagnosis and management.
    • Investigating coagulation disorders in twin pregnancies may help identify at-risk cases.
    • This case contributes to the limited literature on hydranencephaly in twins, emphasizing the need for further research into its causes and outcomes.