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Cyclopia Associated with Microcephaly, Hydrocephaly and Clubfoot: A Case Report from Burkina Faso, West Africa

Received: 25 July 2024     Accepted: 21 August 2024     Published: 28 November 2024
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Abstract

Cyclopia is the most severe form of alobar holoprosencephaly, characterized by the fusion of the two orbits into one. It is a genetic disease incompatible with life. It is most often associated with other craniofacial malformations such as microcephaly, cleft lip and palate, nasal agenesis and facial dysmorphia. The incidence of cyclopia varies from 1/13,000 to 1/20,000 births, and the etiology of this malformation has yet to be elucidated. These include genetic factors, multiparity, female gender, unexplained miscarriage, gestational diabetes, infections during pregnancy, UV radiation, smoking and alcohol consumption. It is probably less diagnosed in developing countries, where pregnancies are not normally monitored, and antenatal ultrasound is less common. We report the case of a 22-year-old pregnant woman, third gesture and two pares with two live children. She came on her own for a third-trimester ultrasound. She had a spontaneous pregnancy. She reported no previous history of a spontaneous pregnancy. Morphological ultrasound revealed cyclopia associated with microcephaly and hydrocephaly. We obtained informed consent from the couple. The patient exploded with a female fetus weighing 700 g, her cranial perimeter at 18 cm and thoracic perimeter at 34 cm. A clubfoot was noted on expulsion of the fetus, which is a particular feature of our case.

Published in Journal of Gynecology and Obstetrics (Volume 12, Issue 6)
DOI 10.11648/j.jgo.20241206.15
Page(s) 161-164
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cyclopia, Holoprosencephaly, Hydrocephaly, Burkina Faso

References
[1] La cyclopie: malformation rare du visage dans un centre de santé de référence de Bamako à propos d’un cas [Cyclopia : a rare facial malformation in a referral health center in Bamako : a case report]- The Pan African Medical Journal; Kampala Vol. 33, (2019).
[2] Yanoff M, Sassani JW. Ocular Pathology-E-Book [Internet]. Elsevier Health Sciences; 2023 [cité 19 mai 2024]. Disponible sur:
[3] Kruszka P, Muenke M. Syndromes associated with holoprosencephaly. American Journal of Medical Genetics Part C: Seminars in Medical Genetics. Am J Med Genet c Semin Med Genet. 2018 Jun; 178(2): 229-237.
[4] Parizad N, Faraji N, Hassanpour A, Goli R, Rostami S, Amanollahzadeh A. Cyclopia, a newborn with a single eye, a rare but lethal congenital anomaly: A case report. International Journal of Surgery Case Reports. Int J Surg Case Rep. 2021 Nov; 88: 106548. Published online 2021 Nov 4.
[5] Sarma V. OCULAR ABNORMALITIES OF THE FOETUS WITH SPECIAL REFERENCE TO CYCLOPIA*. Br J Ophthalmol. Br J Ophthalmol. 1963 Apr; 47(4): 193–202.
[6] Diaouga HS, Yacouba MC, Garba RM, Idi N, Nayama M. La Cyclopie (Nouveau-Né avec un Seul ØEil): À Propos d’un Cas au Niger. [Cyclopia (Newborn with only one eye) About a case in Niger] [cité 17 mai 2024]; Disponible sur:
[7] Dubourg C, Kim A, Watrin E, de Tayrac M, Odent S, David V, et al. Recent advances in understanding inheritance of holoprosencephaly. American Journal of Medical Genetics Part C: Seminars in Medical Genetics.
[8] Roessler E, Hu P, Muenke M. Holoprosencephaly in the genomics era. American Journal of Medical Genetics Part C: Seminars in Medical Genetics.
[9] MEEKER LH, AEBLI R. CYCLOPEAN EYE AND LATERAL PROBOSCIS WITH NORMAL ONE-HALF FACE: Report of a Case. Archives of Ophthalmology. 1 août 1947; 38(2): 159‑73.
[10] Mansouri Hattab N, Lahmiti S, Bouaichi A, Hiroual A, El Bouihi M, Fikry T. Les fentes labio-palatines médianes: un diagnostic qui en cache un autre. [Median cleft lip and palate: one diagnosis hides another] Archives de Pediatrie.
[11] Singh K, Sharma S, Agarwal K, Kalra A. Cyclopia-Otocephaly-Agnathia-Synotia-Astomia Complex: A Case Report. Journal of Clinical Neonatology.
[12] Carles D, Serville F, Mainguené M, Dubecq JP. Cyclopia-otocephaly association: a new case of the most severe variant of agnathia-holoprosencephaly complex. J Craniofac Genet Dev Biol. 1 janv 1987; 7(2): 107‑13.
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    Dieudonne, L. Y., Sibraogo, K., Solo, T., Zakaria, S., Mahamoudou, O., et al. (2024). Cyclopia Associated with Microcephaly, Hydrocephaly and Clubfoot: A Case Report from Burkina Faso, West Africa. Journal of Gynecology and Obstetrics, 12(6), 161-164. https://doi.org/10.11648/j.jgo.20241206.15

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    ACS Style

    Dieudonne, L. Y.; Sibraogo, K.; Solo, T.; Zakaria, S.; Mahamoudou, O., et al. Cyclopia Associated with Microcephaly, Hydrocephaly and Clubfoot: A Case Report from Burkina Faso, West Africa. J. Gynecol. Obstet. 2024, 12(6), 161-164. doi: 10.11648/j.jgo.20241206.15

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    AMA Style

    Dieudonne LY, Sibraogo K, Solo T, Zakaria S, Mahamoudou O, et al. Cyclopia Associated with Microcephaly, Hydrocephaly and Clubfoot: A Case Report from Burkina Faso, West Africa. J Gynecol Obstet. 2024;12(6):161-164. doi: 10.11648/j.jgo.20241206.15

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  • @article{10.11648/j.jgo.20241206.15,
      author = {Lompo Yemboado Dieudonne and Kiemtore Sibraogo and Traore Solo and Sawadogo Zakaria and Ouedraogo Mahamoudou and Dao Blami},
      title = {Cyclopia Associated with Microcephaly, Hydrocephaly and Clubfoot: A Case Report from Burkina Faso, West Africa
    },
      journal = {Journal of Gynecology and Obstetrics},
      volume = {12},
      number = {6},
      pages = {161-164},
      doi = {10.11648/j.jgo.20241206.15},
      url = {https://doi.org/10.11648/j.jgo.20241206.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20241206.15},
      abstract = {Cyclopia is the most severe form of alobar holoprosencephaly, characterized by the fusion of the two orbits into one. It is a genetic disease incompatible with life. It is most often associated with other craniofacial malformations such as microcephaly, cleft lip and palate, nasal agenesis and facial dysmorphia. The incidence of cyclopia varies from 1/13,000 to 1/20,000 births, and the etiology of this malformation has yet to be elucidated. These include genetic factors, multiparity, female gender, unexplained miscarriage, gestational diabetes, infections during pregnancy, UV radiation, smoking and alcohol consumption. It is probably less diagnosed in developing countries, where pregnancies are not normally monitored, and antenatal ultrasound is less common. We report the case of a 22-year-old pregnant woman, third gesture and two pares with two live children. She came on her own for a third-trimester ultrasound. She had a spontaneous pregnancy. She reported no previous history of a spontaneous pregnancy. Morphological ultrasound revealed cyclopia associated with microcephaly and hydrocephaly. We obtained informed consent from the couple. The patient exploded with a female fetus weighing 700 g, her cranial perimeter at 18 cm and thoracic perimeter at 34 cm. A clubfoot was noted on expulsion of the fetus, which is a particular feature of our case.
    },
     year = {2024}
    }
    

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