Cleft palate, arachnoid cyst and posterior urethral valve.
A 5-month-old infant presented with cleft palate, febrile urinary tract infection and abnormal movements. His urinary stream was poor and investigations revealed posterior urethral valve and grade V vesicoureteric reflux. This baby was investigated for seizure activity and on MRI of the brain was found to have a large arachnoid cyst, splaying the occipital horns and compressing the posterior aspect of third ventricle leading to dilatation of the ventricles. This seems to be a very unusual coexistence of three abnormalities in one patient for which no plausible explanation can be given. It appears to be a chance finding.
Department of Pediatrics, Ekta Institute of Child Health, Raipur, India. drsanwar50@gmail.com
Sanwar
S
Agrawal
Anju
A
Parakh
Arun
A
Agrawalla
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000473:pathology; D016080:Arachnoid Cysts / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D002972:Cleft Palate / Q000150:complications*; D006801:Humans; D007223:Infant; D008297:Male; D014521:Urethra / Q000002:abnormalities*; D014524:Urethral Obstruction / Q000175:diagnosis / Q000209:etiology