Trisomy 18 (Edward Syndrome)

  • Second most common autosomal trisomy
  • Risk of Recurrence: Less than 1%, higher with increased maternal age.

Clinical Presentation

  • Apneic episodes - Complication ~~~ Death
  • Poor feeding
  • Marked failure to thrive
  • Intrauterine growth retardation (IUGR) ~~~ Failure to thrive
  • Microcephaly
  • High forehead
  • Intellectual disability
  • Rocker bottom feet
  • Clubfoot/clenched fist
  • Overlapping fingers
  • Hypoplastic nails
  • Ventricular septal defect (VSD) is most common (90% have structural heart defect), ASD, PDA as well