A CASE REPORT OF APERT SYNDROME ASSOCIATED WITH DANDY WALKER MALFORMATION, CORPUS CALLOSUM AGENESIS AND PNEUMOTHORAX IN A NEONATE

Background and Craniosynostosis is the premature fastening of skull sutures, mainly characterized by Apert syndrome and more often associated with syndactyly. This paper is intended to report a neonatal case of Apert syndrome associated with Dandy walker malformation, corpus callosum agenesis and pneumothorax simultaneously. The patient: A female neonate was born in a teaching hospital in Birjand, Iran, who shoured, from birth, respiratory distress, skull malformation and syndactyly in hands and legs. Upon physical examinations, peripheral cyanosis, mild respiratory distress with a decrease in the lung sounds of the left side as well as syndactyly of all fingers and toes were obserrable. Left side pneumothorax was obserred in the chest X-ray; and partial synostosis was obrious in head X-ray. Also, skull Ct scan revealed cystic dilation in the fourth cerebral ventricle (Dandy walker malformation) and corpus callosum agenesis. Pneumothorax was treated using chest-tube insertion, and the patient was referred to neurosurgeon after being reliened from respiratoly distress. Apert syndrome can occur simultaneously with Dandy walker malformation, corpus callosum agenesis and pueumothorax.