Young woman born with hydranencephaly turns 20 in the United States. Alex Simpson, from Omaha, Nebraska, celebrated his birthday amid an intensive care routine maintained by his family. Diagnosed with the rare condition that replaces a large part of the brain with cerebrospinal fluid, she was initially given a maximum survival prognosis of four years.
Parents Shawn and Lorena Simpson adapted their daily lives to meet their daughter’s needs. Alex has no vision or hearing, but responds to tactile stimuli according to family reports. The young woman lives at home with constant support.
- Condition diagnosed at birth in local hospital.
- Only a minimal portion of the cerebellum present, equivalent to half of a little finger.
- Family rejected options for terminating the pregnancy after prenatal diagnosis.
Rare neurological condition
Hydranencephaly affects brain development during pregnancy. The skull accumulates fluid in place of brain tissue throughout almost its entire length. Cases like Alex’s represent an exception to the rule of early mortality.
Doctors explain that the majority of those diagnosed do not survive the first year of life. The incidence occurs in approximately one in every 10 thousand births. Treatments focus on comfort and prevention of complications.
Adapted family routine
Shawn and Lorena maintain strict eating and hygiene schedules. The 14-year-old brother actively participates in daily care. Medical equipment installed in the home ensures continuous monitoring.
The family reports that Alex reacts to touch and the presence of people close to him. Facial and body movements indicate perception of the environment. Regular visits to specialists monitor your health.
Ongoing medical care
Health professionals perform periodic assessments in Omaha. Procedures prevent infections and control intracranial pressure. Medications administered prevent seizures common in the condition.
- Tube feeding adjusted according to weight and age.
- Passive physiotherapy maintains joint mobility.
- Imaging tests monitor fluid volume.
- Multidisciplinary team includes neurologists and nurses.
Longevity Record
Documented cases of hydranencephaly with survival beyond a decade remain rare in the medical literature. Alex joins a select group of patients who reach adulthood. Registerless than a dozen similar occurrences worldwide indicate them.
The family documents milestones through private photos and videos. Annual birthdays bring together close relatives in a discreet celebration. Shawn says that each day represents collective achievement.
Local Community Support
Omaha residents contribute donations for extra medical expenses. Church attended by the family organizes annual charity events. Volunteers help with household chores to ease the burden on parents.
State disability assistance programs cover part of the equipment costs. Local schools include Brother in disability awareness activities. Support network formed over the years sustains the family structure.
Parental perspective
Shawn and Lorena describe the journey as a constant learning process. Decisions made since diagnosis have shaped the current trajectory. Both work shifts to ensure constant presence at home.
They emphasize the importance of an emotional network in daily coping. Moments of interaction with Alex strengthen family bonds. The experience altered the couple’s priorities and values over two decades.

