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Hydrocephalus with cleft lip and palate: an overlap between midline malformation syndromes
Murat Cakir1, Ilke Mungan, Melike Makuloglu
1Department of Pediatrics, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey. muratcak@hotmail.com
Insights
This case study details a male infant with multiple congenital anomalies, including hydrocephalus and cleft palate. Differential diagnosis considered syndromes like Meckel and Smith-Lemli-Opitz.
Area of Science:
- Medical Genetics
- Developmental Biology
- Pediatric Medicine
Background:
- Congenital anomalies present a significant diagnostic challenge.
- Syndromic presentations require careful differential diagnosis.
Observation:
- A male infant presented with hydrocephalus, cleft lip/palate, micrognathia, club foot, laryngeal stenosis, and atrial septal defect.
- Karyotype confirmed a 46 XY chromosomal complement.
Findings:
- The observed combination of malformations overlaps with features of hydrolethalus syndrome, Meckel syndrome, Smith-Lemli-Opitz syndrome, and pseudotrisomy 13.
- This constellation suggests a complex genetic or developmental etiology.
Implications:
- Accurate diagnosis is crucial for genetic counseling and family planning.
- Understanding overlapping syndromes aids in refining diagnostic criteria and future research.
Abstract:
We present a male infant with hydrocephalus, cleft lip/palate, micrognathia, club foot, laryngeal stenosis and ostium secundum type atrial septal defect. The karyotype was 46 XY. The combination of malformations observed overlaps with the characteristic findings of hydrolethalus syndrome, Meckel syndrome, Smith-Lemli-Opitz syndrome and pseudotrisomy 13. We discussed the differential diagnosis of the case.
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