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CTuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: ongenital hydrocephalus in an Egyptian baby with trisomy 18: a case report | Journal of Medical Case Reports BioMed Central Case report Congenital hydrocephalus in an Egyptian baby with trisomy 18 a case report Kotb A Metwalley1 Hekma S Farghalley2 and Alaa A Abd-Elsayed 3 Open Access Address Department of Pediatrics Faculty of Medicine Assiut University Assiut Egypt 2Department of Pediatrics Al-Mabarah Hospital Assiut Egypt and 3Department of Public Health and Community Medicine Faculty of Medicine Assiut University Assiut Egypt Email Kotb A Metwalley - kotb72@hotmail.com Hekma S Farghalley - hekma73@hotmail.com Alaa A Abd- Elsayed - alaaawny@hotmail.com Corresponding author Published 9 November 2009 Received 21 November 2008 _ n nno loz-Ti I IA Accepted 9 November 2009 Journal of Medical Case Reports 2009 3 114 doi I0.I I86 I752-I947-3-II4 This article is available from http www.jmedicalcasereports.com content 3 I I I4 2009 Metwalley et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Trisomy I8 is the second most common autosomal trisomy after Down syndrome trisomy 2I . A variety of anomalies of the central nervous system are observed in cases of trisomy I8. The association between trisomy I8 and congenital hydrocephalus is very rare. Case presentation A 4-month-old male Egyptian baby boy was referred to Assiut University hospital for evaluation of his large-sized head. The initial clinical examination revealed facial dysmorphism including a prominent wide forehead wide anterior fontanel bushy eyebrows synophrosis small palpebral fissures ocular hypertelorism high arched palate depressed nasal bridge low-set ears micrognathia bilateral clenched hands with over lapping fingers rockerbottom feet and penile hypospadius. A computed tomography scan of the patient s head .