Nebraska Woman Alex Simpson, Born Without a Brain, Defies the Odds and Celebrates Her 20th Birthday

A Nebraska woman who was born without a brain has defied every medical prediction by reaching her 20th birthday — an extraordinary milestone that her family credits to love, faith, and unshakable strength.

Alex Simpson, of Omaha, Nebraska, turned 20 on November 4, a moment her parents once thought they would never see. When Alex was born, her parents, Shawn and Lorena Simpson, were initially told their baby was healthy. But just two months later, a routine checkup revealed that Alex had hydranencephaly, an extremely rare condition in which a baby is born without the cerebral hemispheres — the largest and most vital parts of the brain. Doctors told the couple that their daughter had only a tiny amount of brain tissue, roughly the size of a pinky finger, and warned that she was unlikely to live past her fourth birthday.

“Twenty years ago, we were scared,” Shawn recalled. “But faith, I think, is really what kept us alive.” Despite the grim prognosis, the Simpson family refused to give up on their daughter. Over the years, they have watched her grow, laugh, and respond to the world in her own unique way.

Nebraska Woman Alex Simpson, Born Without a Brain, Defies the Odds and Celebrates Her 20th Birthday
Though Alex lacks the parts of the brain responsible for sight and hearing, her family believes she senses much more than doctors once thought possible. “Say somebody’s stressed around her,” explained SJ, Alex’s 14-year-old brother. “Nothing will even happen — it could be completely silent — but Alex will know. She’ll feel something. Like, if my grandma’s hurting in her back, she’ll radiate off of it — it’s crazy.”

SJ said he’s proud to be Alex’s brother and has spent time learning about her condition so he can better understand and support her. His dedication, like that of his parents, reflects the deep bond that defines the Simpson family.

According to the Cleveland Clinic, hydranencephaly is a rare birth defect that affects roughly one in 5,000 to one in 10,000 pregnancies. Babies born with the condition lack the cerebral hemispheres and typically have enlarged heads and severe neurological symptoms. In most cases, hydranencephaly is fatal within the first year of life, making Alex’s survival for two full decades nothing short of miraculous.

When asked how their daughter has managed to defy such overwhelming odds, both Shawn and Lorena had the same answer: love. “She’s a fighter,” Lorena said, smiling proudly. Shawn added, “Faith is what carried us through — from the day we heard the diagnosis to every single day since.”

Now at 20 years old, Alex continues to inspire everyone around her. Her family describes her as their miracle — a living reminder of how love, hope, and perseverance can push beyond even the most impossible boundaries.