Cephalic disorder

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Cephalic disorder
Synonyms
Pronounce N/A
Specialty N/A
Symptoms Developmental delay, intellectual disability, seizures, motor impairment
Complications
Onset Congenital
Duration Lifelong
Types N/A
Causes Genetic mutations, environmental factors
Risks Maternal infection, exposure to toxins, nutritional deficiencies
Diagnosis Prenatal ultrasound, MRI, CT scan
Differential diagnosis Neural tube defect, hydrocephalus, cerebral palsy
Prevention Folic acid supplementation, avoidance of teratogens
Treatment Supportive care, physical therapy, occupational therapy, speech therapy
Medication N/A
Prognosis Varies depending on severity
Frequency Rare
Deaths N/A


Group of congenital conditions affecting the head and brain


Cephalic disorders are a group of congenital conditions that affect the structure and function of the head and brain. These disorders are the result of abnormal development of the nervous system during embryonic growth. The term "cephalic" is derived from the Greek word "kephalē," meaning "head."

Overview

Cephalic disorders encompass a wide range of conditions, each with varying degrees of severity and impact on the individual. These disorders can affect the brain, skull, scalp, and face. The causes of cephalic disorders are diverse and can include genetic factors, environmental influences, and unknown causes.

Types of Cephalic Disorders

Cephalic disorders can be classified into several types, each with distinct characteristics and implications for health and development.

Anencephaly

Anencephaly is a severe cephalic disorder characterized by the absence of a major portion of the brain, skull, and scalp. It occurs when the upper part of the neural tube fails to close during embryonic development. Infants with anencephaly are usually stillborn or die shortly after birth.

Microcephaly

Microcephaly is a condition where a baby's head is significantly smaller than expected, often due to abnormal brain development. It can result from genetic abnormalities, infections during pregnancy, or exposure to harmful substances. Microcephaly can lead to developmental delays and neurological problems.

Hydrocephalus

Hydrocephalus is characterized by an accumulation of cerebrospinal fluid within the brain's ventricles, leading to increased pressure inside the skull. This can cause an enlarged head, brain damage, and other complications. Treatment often involves surgical intervention to drain the excess fluid.

Holoprosencephaly

Holoprosencephaly is a disorder resulting from the failure of the forebrain to divide into two hemispheres. This can lead to facial abnormalities and severe neurological impairments. The severity of holoprosencephaly varies widely among affected individuals.

Craniosynostosis

Craniosynostosis is a condition where one or more of the sutures in a baby's skull close prematurely, affecting the shape of the head and potentially leading to increased intracranial pressure. Surgical intervention is often required to correct the skull shape and prevent complications.

Causes

The causes of cephalic disorders are multifactorial and can include:

Diagnosis

Cephalic disorders are typically diagnosed through a combination of prenatal imaging techniques, such as ultrasound and MRI, and postnatal physical examinations. Genetic testing may also be used to identify specific mutations associated with these conditions.

Treatment

Treatment for cephalic disorders varies depending on the specific condition and its severity. Options may include:

  • Surgical interventions to correct structural abnormalities
  • Medications to manage symptoms and complications
  • Supportive therapies, such as physical and occupational therapy, to aid development

Prognosis

The prognosis for individuals with cephalic disorders depends on the type and severity of the condition. Some disorders, like anencephaly, are incompatible with life, while others, such as mild forms of craniosynostosis, can be managed effectively with treatment.

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Contributors: Prab R. Tumpati, MD