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| Anencephaly: A Case Report and Review of the Literature
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Mohamed Mahmoud Emed ,Mohamed Abdellahi Elmoctar , Karam Mohammed Saoud, Nisrine Mamouni, Sanae Errarhay, Chahrazad Bouchikhi, Abdelaziz Banani
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Abstract:
Anencephaly is a lethal malformation characterized by a lack of closure of the anterior neuropore of the neural tube with aplasia of the cortical architecture and absence of cranial box formation. Anencephaly is an isolated malformation (in 80% of cases), but in rare cases it is associated with other malformations such as spina bifida and others. Anencephaly represents 40% of neural tube defects, which is the second most common cause of nervous system anomalies after spina bifida. The prevalence rate is 1/1000. The diagnosis is made by the ultrasound of the first trimester, a prophylaxis of neural tube defects with folic acid in the periconceptional period is recommended. We are going to present a male neonate born by vaginal delivery in our department. In these antecedents, we note a low socio-economic level, a maternal age of 34 years, primigravida, with consanguinity of 1st degree and absence of prophylaxis with folic acid during the periconceptional period. The diagnosis of anencephaly was retained. The evolution was marked by the death of the newborn after two hours of life. Antenatal diagnosis of congenital malformations incompatible with extra uterine life allows parents to be informed about the risk of recurrence and the benefit of folic acid supplementation before the next pregnancy.
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