«Studies of fetuses and babies with the telltale small brains and
heads of microcephaly in Zika - affected areas have found abnormalities in the cortex, and Zika virus has been found in the fetal tissue,» says Guo - li Ming, M.D., Ph.D., a professor of neurology, neuroscience, and psychiatry and behavioral science at Johns Hopkins» Institute for Cell Engineering.
Not exact matches
One
of the reasons it's been so troubling is that it's a cause
of a serious birth defect called
microcephaly, in which the
head of babies whose mothers have been infected with Zika during pregnancy are abnormally small.
In April, the CDC confirmed that Zika is a cause
of microcephaly, a condition in which the
head is born abnormally small.
One reason Zika is troubling is that it is a cause
of birth defects, including
microcephaly — a condition where the baby's
head is abnormally small — in babies whose mothers have had Zika.
When the virus infects a pregnant woman, it can cause a variety
of birth defects including
microcephaly, where the baby's
head is abnormally small.
One reason Zika is troubling is because it is a cause
of birth defects, including
microcephaly — a condition where the baby's
head is abnormally small — in babies whose mothers have had Zika.
The outbreak
of Zika, a mosquito - borne disease, was detected last year in Brazil, where it has been linked to more than 1,700 cases
of microcephaly, a birth defect marked by small
head size that can lead to severe developmental problems.
The WHO says there is strong scientific consensus that Zika is a cause
of the birth defect
microcephaly, or small
heads in babies, as well as Guillain - Barre syndrome, a neurological disorder.
Now, it is being deployed to monitor the Zika as it spreads beyond Brazil, where reports last August
of fetal deaths and newborns with brain disorders including
microcephaly, a devastating condition that results in abnormally small brains and
heads, began to trickle in.
Researchers have linked Zika virus to
microcephaly — a birth defect affecting the
heads and brains
of infants born to infected mothers.
An association between Zika infections during pregnancy and the birth
of babies with
microcephaly (a birth defect in which an infant's brain does not develop properly resulting in a smaller than normal
head) was first suggested by Brazilian physicians in August 2015, and in November
microcephaly cases potentially associated with Zika started to be recorded; three months later WHO made its announcement.
The finding
of virus in the brain could also be important, since the most devastating impact
of the current outbreak in Brazil appears to be children
of infected mothers born with
microcephaly — abnormally small
heads and, in some cases, incomplete brain development.
«As we learn more about the consequences
of Zika infection, including the recent revelation that babies
of Zika - infected mothers who had normal
head sizes at birth have been diagnosed with
microcephaly months later, it is vital that we know this enemy and remain vigilant in protecting ourselves,» Diaz concludes.
But the Brazilian government is now warning that the virus may be responsible for a dramatic increase in cases
of microcephaly, a severe birth defect in which the brain fails to develop properly and the
head is much smaller than normal.
In humans, Zika virus infection during pregnancy has been linked to a suite
of birth defects including a condition known as
microcephaly, which leaves babies with shrunken
heads and brains (SN: 4/2/16, p. 26).
The findings — so far observed only in cells and minibrains grown in the lab — offer a possible explanation for the misshapen
heads that are the hallmark
of microcephaly, a condition that afflicts some babies infected with Zika.
The study comes in the wake
of an ongoing Zika epidemic and an explosion
of cases involving fetal death,
microcephaly (born with severely decreased
head size), and other congenital birth defects.
Cases
of both Zika virus and
microcephaly — the potentially related occurrence
of babies born with small - sized
heads and associated neurological complications — will continue to increase across the Americas, said a panel
of public health experts at a 12 February news briefing at the AAAS Annual Meeting in Washington, D.C.
Since 2016 thousands
of children across South America have been born with
microcephaly, which causes abnormally small
heads, after their mothers became infected with the Zika virus during pregnancy.
In cases
of microcephaly, the baby's
head is exceptionally small, due to an underdeveloped brain.
Previously, children with typical facial features, growth restriction and / or
microcephaly (small
head size) could be given a diagnosis
of FASD without neurobehavioral impairment (i.e., behavioral or cognitive abnormalities that can not be explained by genetics, family background, or environment).
Although Zika infections typically cause only mild symptoms, concerns have been heightened by Brazil's reports
of an unusual increase in
microcephaly — unusually small
head size — in babies born in areas where the virus is circulating.
Besides
microcephaly, experts say some
of the affected children have joint malformation or brain malformation, though their
heads are normal - sized.
There is little doubt that a strain
of the virus is responsible for the surge in Brazilian babies born with unusually small
heads, or
microcephaly.
The studies add to the understanding
of how the virus appears to be linked to the thousands
of babies in Brazil who are being born with
microcephaly, a condition marked by an abnormally small
head and that appear to be accompanied by brain defects in many cases related to Zika.
The main birth defect attributed to Zika is
microcephaly, a rare neurological condition in which an infant is born with a much smaller
head — an effect
of abnormal brain development.
The 3 largest case series
of infants with
microcephaly also reporting congenital contractures found that, among 35, 48, and 52 infants with
microcephaly and presumed congenital ZIKV infection, isolated clubfoot occurred in 14 %, 10.4 %, and 3.8 % and arthrogryposis in 11 %, 10.4 %, and 5.7 %, respectively.36 - 38 Among a series
of 104 infants under clinical investigation, 7 (6.7 %) with presumed (5 infants) and laboratory - confirmed (2 infants) congenital ZIKV infection had arthrogryposis; 6
of these infants had a
head circumference
of at least 2 SD below the mean.41 All had bilateral congenital hip dislocation, which previously has been reported to occur in 30 % to 40 %
of children with arthrogryposis
of various etiologies and 3
of 7 had dislocation or partial dislocation
of 1 or both knees.41, 57
Structural eye anomalies (in particular, microphthalmia and coloboma), cataracts, intraocular calcifications, and posterior ocular findings have been reported in infants with presumed and laboratory - confirmed prenatal ZIKV infection; however, posterior findings have been the most prevalent.21,25,28,33,35,36,41 - 43 Case series report chorioretinal atrophy, focal pigmentary mottling
of the retina, and optic nerve atrophy / anomalies.28, 34,37,41 - 43,55 Series
of 20 or more infants with presumed ZIKV - associated
microcephaly report ocular findings in 24 % to 55 %.28, 33,42 In one study, testing for ZIKV IgM was performed in 24
of 40 infants (60 %) with
microcephaly and the results were positive in the cerebrospinal fluid in 100 %
of those tested.42 The proportion
of infants with ocular lesions did not differ in those with and without testing.42 In that series, first trimester maternal infection and smaller
head circumference significantly correlated with the presence
of abnormal ocular findings.42
Understanding Zika's mechanisms will illuminate how viral infection leads to birth defects such as
microcephaly, a condition marked by an abnormally small
head and brain size, and could inform the development
of therapies and vaccines, the study authors said.
Brazil has reported the vast majority
of cases
of a Zika - linked birth defect called
microcephaly, which causes babies to be born with abnormally small
heads and malformed brains.
The most devastating
of these defects is
microcephaly — when infants are born with abnormally small
heads and underdeveloped brains.
Eleven
of these babies were diagnosed with
microcephaly — an abnormally small
head and brain — and other neurologic complications associated with Zika syndrome, the researchers reported.
Expectant mothers are most at risk because
of Zika's known link to birth defects (especially
microcephaly, where a baby's
head is smaller than normal at birth).
In the case
of the Zika virus, most prevalent in northeastern Brazil, there is no cure for the
microcephaly that results in a baby's
head being too small and the brain underdeveloped.