Anencephaly is a defect in the closure of the neural tube during fetal development. The neural tube is a narrow channel that folds and closes between the third and fourth week of pregnancy to form the brain and spinal cord of the embryo. Anencephaly occurs when the "cephalic" or head end of the neural tube fails to close, resulting in the absence of a major portion of the brain, skull, and scalp. Infants with this disorder are born without a forebrain (the front part of the brain) and a cerebrum (the thinking and coordinating part of the brain). The remaining brain tissue is often exposed--not covered by bone or skin. A baby born with anencephaly is usually blind, deaf, unconscious, and unable to feel pain. Although some individuals with anencephaly may be born with a rudimentary brain stem, the lack of a functioning cerebrum permanently rules out the possibility of ever gaining consciousness. Reflex actions, such as breathing and responses to sound or touch may occur.
The cause of anencephaly is unknown. Although a mother's diet and vitamin intake may play a role, some scientists believe that various other factors may also be involved.
Recent studies have shown that the addition of folic acid (vitamin B9) to the diet of women of childbearing age significantly reduces the incidence of neural tube defects. Therefore, it is recommended that all women of childbearing age consume 0.4 mg of folic acid daily.
This answer is based on source information from National Institute of Neurological Disorders and Stroke.