1989
DOI: 10.1002/ajmg.1320340232
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Perspectives on holoprosencephaly: Part III. Spectra, distinctions, continuities, and discontinuities

Abstract: This paper attempts to balance our knowledge of holoprosencephalic spectra and continuities with important distinctions and discontinuities. Prevalence studies and syndrome delineation are briefly reviewed. The following topics receive detailed coverage: human teratogens, special aspects of forebrain and hindbrain malformations, aprosencephaly/atelencephaly, association with neural tube defects, current assessment of "facial principles," and endocrine abnormalities.

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Cited by 220 publications
(157 citation statements)
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“…Both environmental and genetic causes of holoprosencephaly have been identified. Possible etiologies include maternal diabetes, infections or drug use during pregnancy, deficits in cholesterol biosynthesis, chromosomal abnormalities, and genetic defects [8][9][10][11]. Six human genes have been found to be associated with holoprosencephaly (SHH, SIX3, ZIC2, TGIF, PTCH, and DKK), and seven other defective chromosome loci have been linked to this diagnosis.…”
Section: Introductionmentioning
confidence: 99%
“…Both environmental and genetic causes of holoprosencephaly have been identified. Possible etiologies include maternal diabetes, infections or drug use during pregnancy, deficits in cholesterol biosynthesis, chromosomal abnormalities, and genetic defects [8][9][10][11]. Six human genes have been found to be associated with holoprosencephaly (SHH, SIX3, ZIC2, TGIF, PTCH, and DKK), and seven other defective chromosome loci have been linked to this diagnosis.…”
Section: Introductionmentioning
confidence: 99%
“…Pedigrees suggesting autosomal recessive and possibly Xlinked inheritance have also been reported (8,9,15,16). HPE is extremely heterogeneous with both teratogenic and genetic causes (7,9,16,17). The best documented environmental factor in humans is maternal diabetes.…”
Section: Introductionmentioning
confidence: 99%
“…Phenotypic expression of HPE is quite variable and 70-80% of cases with alobar HPE have facies diagnostic for HPE (6)(7)(8). Cyclopia or synophthalmia, severe ocular hypotelorism with divided orbits, and a proboscis-like nasal structure are mostly associated with alobar HPE.…”
Section: Introductionmentioning
confidence: 99%
“…Na perspectiva genética, uma definição fixa da HPE não é apropriada, pois a mesma causa pode resultar tanto na HPE quanto em microformas da mesma (Cohen Jr 2001 (Cohen 1989b), dando origem aos cinco tipos baseados na expressão clínica da HPE:…”
Section: Diagnóstico E Prognósticounclassified
“…Tem-se estabelecido que crianças com HPE apresentam dificuldades significativas para alcançar qualquer progresso de desenvolvimento neuropsicomotor (Cohen et al 1990) Cohen 1989b). Quando não há malformação cerebral, as manifestações faciais leves são denominadas "microssinais" ou "microformas" e têm sido reconhecidas como predisponentes ao nascimento de crianças com HPE nas gerações seguintes (Berry et al 1984, Hattori et al 1987, Fryns e Van den Berghe 1988, Jaramillo et al 1988.…”
Section: Introductionunclassified