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Chapter 16 Defects of Neural Tube Closure  Anencephaly  Encephalocele  Meningocele  Myelomeningocele Structural Malformations Malformations of the Axial Skeleton  Spina bifida occulta  Vertebral defect that allows the protrusion of the neural tube contents Inherited Metabolic Disorders of the Central Nervous System  Defects in amino acid metabolism  Phenylketonuria (PKU) → hyperphenylalaninemia  Defects in lipid metabolism (lysosomal storage)  Tay-Sachs disease  AR, -↓ hexosaminidase A, 80% Jewish Phenylketonuria Acute Encephalopathies  Reye syndrome  Drug induced (Table 16-6)  Lead poisoning Acute Encephalopathies  Meningitis  Bacterial  Viral HIV and CNS Involvement  HIV infections in children  Perinatally through the placenta  Exposure to infected maternal blood and vaginal secretions  Postpartum ingestion of breast milk