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Definition:  Means  small    head  in  which    head  circumference  less  than  2

               standard deviations from normal distribution.

               Etiology:

                                      Primary (genetic ) Microcephaly

               Exposure of the embryo to anoxious agent during the first weeks after

               conception → impairment of neuronal development.



               -Microcephaly vera :

                     AR inheritance ,small brain , slanted forehead, prominent nose and ear

                     ,moderate to sever mental retardation , neurological abnormalities such


                     as spastic diplagia , seizures may be present
                     Diagnosis : Normal brain imaging


                     Management : Symptomatic



               - Chromosomal disorders :Dysmorphism
                     #Down  syndrome  (triosomy  21):  Abnormal  rounding  of  occipital  and


                     frontal lobes and other dysmophic features.



                     #Edward syndrome: low birth weight, microsomia, micrognathia, low set

                     malformed  ears,  and  rocker  bottom  feet  and  may  be  congenital  heart

                     diseases.











               - Defective neurulation :
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