title: Bilateral macrostomia associated with aqueductal stenosis and glial heterotopias.
abstract: 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.
authors.affiliation: Department of Plastic Surgery and Pediatric Neurosurgery, Regina Margherita Children's Hospital, Turin, Italy. Ernesto_pepe@tin.it
authors.forename: Ernesto
authors.initials: E
authors.lastname: Pepe
authors.forename: Paola
authors.initials: P
authors.lastname: Petricig
authors.forename: Paola
authors.initials: P
authors.lastname: Peretta
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Cinalli
mesh_terms: D001927:Brain Diseases / Q000000981:diagnostic imaging; D002535:Cerebral Aqueduct / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002552:Cerebral Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002828:Choristoma / Q000000981:diagnostic imaging; D003251:Constriction, Pathologic / Q000150:complications; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000150:complications*; D007231:Infant, Newborn; D008265:Macrostomia / Q000150:complications* / Q000601:surgery; D008297:Male; D009457:Neuroglia; D011247:Pregnancy; D016216:Ultrasonography, Prenatal