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Bilateral macrostomia associated with aqueductal stenosis and glial heterotopias.
[hydrocephalus with stenosis of the aqueduct of sylvius]
We
report
on
an
Italian
boy
,
born
to
normal
and
nonconsanguineous
parents
with
a
prenatal
diagnosis
of
ventriculomegaly
and
subependymal
glial
heterotopias
.
At
birth
bilateral
macrostomia
was
diagnosed
without
other
evident
facial
anomalies
.
Magnetic
resonance
imaging
(
MRI
)
showed
triventricular
hydrocephalus
and
aqueductal
stenosis
and
confirmed
the
nodules
of
glial
heterotopia
.
The
bilateral
macrostomia
was
surgically
corrected
with
the
vermilion
square
flap
method
and
W-
plasty
technique
and
follow
up
MRI
at
6
months
showed
mild
increase
of
ventricular
dilatation
without
signs
of
active
hydrocephalus
.
The
association
between
macrostomia
and
hydrocephalus
has
been
reported
only
in
rare
cases
of
complex
malformative
syndromes
but
never
with
isolated
macrostomia
.
Diseases
Validation
Diseases presenting
"hydrocephalus"
symptom
achondroplasia
alexander disease
canavan disease
congenital toxoplasmosis
harlequin ichthyosis
hirschsprung disease
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
krabbe disease
monosomy 21
proteus syndrome
severe combined immunodeficiency
sneddon syndrome
von hippel-lindau disease
wiskott-aldrich syndrome
This symptom has already been validated