Abstract
The SMMCI is a complex multiple disorder characterized mainly by defects of the development of the midline detonated by unknown factors that operate in the uterus on days 35-38 from the conception, among the presented proposals highlight the chromosomal deletions (7 and 18) and mutations of the SHH gene. This article seeks to understand and keep present the diagnostic variants before a poor adaptation to the environment of the patient after birth, in addition to strengthening the relevance of the genetic council and the ethical aspects that this entails.
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