Table 2 Summary of the clinical findings in 20 adolescents and adults with HPE

From: In-depth investigations of adolescents and adults with holoprosencephaly identify unique characteristics

#

Sex/age

Age at diagnosis

Sz

VP shunt

G-tube feeding

Scoliosis

DI

SNHL

Eye exam

Other

Height (m)/BMI

HC (cm)

1

M/17

6 m

+

Crowded discs and optic atrophy

Congenital scoliosis, hemivertebrae, missing ribs, mood disorder

1.55/21

53

2

M/24

2 m

+

Cortical visual impairment

 

1.39/24

47.5

3

F/33

Birth

+

+

Cortical visual impairment

Parietal encephalocele, nephrolithiasis

1.27/16

47

4

F/15

Birth

+a

+

+

+

+

Hypoplastic optic nerves, dry eyes, ptosis

Parietal encephalocele, scarring alopecia, precocious puberty, temp dysregulation

1.27/17

42

5

F/19

Birth

+

+

+

+

Mild

Dry eyes, ptosis

Cholelithiasis, narcolepsy

1.46/22

50.5

6

F/33

Birth

+a

+

+

+

+

Cortical vision impairment, optic atrophy

Parietal encephalocele

1.41/NA

49

7

F/20

1 y

+

Mild

+

Dry eyes, microcornea

GH deficiency, hypothyroidism, OCD, ADD, leg length discrepancy

1.51b/28

55.5

8

M/19

1 m

+

+

+

+

Cortical vision impairment, hypertelorism, bilateral retinal degeneration

Ulcerative colitis, ectopic left kidney

1.65/12

55.5

9

F/19

Birth

+

+

+

Ptosis, strabismus

Parietal encephalocele, hypotelorism, absent nasal bone

1.6/NA

54

10

F/17

3 y

Mild

Hyperintense foveal anomaly

 

1.55/20

51

11

F/27

17 y

+

Hypotelorism, strabismus, mild cataracts

Cholelithiasis, anosmia, missing teeth, single central incisor, hypotelorism.

1.5/19

52

12

F/23

1 y

+

+

Mild

+

Retinal coloboma, no vision on right side

OCD, mood disorder, cyclic vomiting, insomnia

1.5/35

46

13

M/22

Birth

+

+

Mild

+

+

 

Hypothyroidism

NA/NA

NA

14

F/18

Birth

+

+

+

Hypotelorism, small optic nerves

Cholelithiasis, fatty liver per US, cleft lip and palate, absent nasal bone, hypothyroidism

1.45/28

51

15

F/27

1 y

+

+

+

+

 

Horseshoe kidney

NA/NA

NA

16

F/23

18 m

+c

+

+

 

Dysplastic cortex with polymicrogyria

1.41/19

47.5

17

M/28

Birth

+

+

+

  

1.42/23

52

18

F/20

Birth

Mild

Cleft lip and palate, absent nasal bone, hypotelorism, mood disorder, psychosis, ADD

1.62/13

49

19

F/32

3 m

+

+

+

Mild

Recurrent pancreatitis, paralytic ileus, sinus tachycardia, tracheostomy, temperature dysregulation

1.54/23

51

20

M/27d

Birth

+

+

+

+

Strabismus

Reactive airway disease and recurrent aspirations

1.52/24

NA

  1. ADD, attention deficit disorder; DI, diabetes insipidus; GH, growth hormone; G-tube, gastrostomy tube; HC, head circumference; HPE, holoprosencephaly; NA, not available; OCD, obsessive-compulsive disorder; Sz, seizures; SNHL, sensorineural hearing loss; US, ultrasound; VP, ventriculoperitoneal.
  2. aRefractory on multiple antiepileptic medications;
  3. bpost-GH therapy;
  4. cresolved;
  5. ddied at 27 years.