RT Journal Article SR Electronic T1 Fetal hemivertebra: a rare form of 18q deletion prenatal presentation JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e251914 DO 10.1136/bcr-2022-251914 VO 16 IS 2 A1 Mafalda Laranjo A1 Márcia Marinho A1 Conceição Brito A1 Cristina Godinho YR 2023 UL http://casereports.bmj.com/content/16/2/e251914.abstract AB The 18q deletion is a rare condition with several described features. A common phenotype includes short stature, microcephaly, facial defects, small feet, intellectual disability and hypotonia.We present a rare case of a fetus with del18q22.1q23 whose diagnosis was obtained by amniocentesis after a routine ultrasound at 20 weeks, where a hemivertebra was detected.Congenital hemivertebra is infrequent and is rarely associated with chromosomal anomalies. Expectant management can be advocated in isolated hemivertebra. This report shows that a hemivertebra can be an isolated prenatal finding in del18 so it is important to screen for, and exclude, chromosomal anomalies.