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Living with Lethal hydranencephaly-diaphragmatic hernia syndrome

A rare inherited condition with major brain differences and a hole in the diaphragm, noticed in newborns.

Understanding Lethal hydranencephaly-diaphragmatic hernia syndrome

Lethal hydranencephaly-diaphragmatic hernia syndrome is a rare genetic condition with multiple differences present at birth.

It is marked by hydranencephaly (the brain's main parts are replaced by fluid) and diaphragmatic hernia (a gap in the muscle between chest and belly). Babies may also have a large head, a wide soft spot, a hollow belly, and low muscle tone. Heart differences, extra amniotic fluid, and high lung blood pressure have also been linked to it.

Signs & symptoms

GARD doesn't list a symptom list for this condition. Its summary describes these features:

  • Hydranencephaly (brain replaced by fluid)
  • Diaphragmatic hernia
  • Large head (macrocephaly)
  • Wide-open soft spot (anterior fontanel)
  • Low muscle tone (hypotonia)
  • Heart defects

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, digestive system specialists, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in PLAT are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would PLAT gene testing help our family?
Which specialists should evaluate the brain, lungs, and heart?
What genetic counseling is available for future pregnancies?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesPLAT

It is caused by changes in the PLAT gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalGastrointestinal

Also known as: lethal hydranencephaly, diaphragmatic hernia syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Lethal hydranencephaly-diaphragmatic hernia syndromeGARD ID 21978 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Lethal hydranencephaly-diaphragmatic hernia syndrome.

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