A doctor prescribed Accutane to treat a 22-year-old woman’s acne. For years, the drug’s manufacturer had known that Accutane can cause birth defects, and initiated an educational program to reinforce the important of pregnancy prevention, including the recommendation that physicians twice administer a pregnancy test and require a signed commitment to use two forms of birth control while using Accutane. There is no evidence this patient was counseled about the risks, nor was she tested for pregnancy. In 2003, she became pregnant and two weeks later, stopped the Accutane treatment. When the baby was born, a CT scan revealed cystic expansion of one of the ventricles of her brain directly caused from utero exposure to Accutane.