Spiller P, Manzi B, Gungor N, Gungor A. Duplication of the pituitary gland and basilar artery, with multiple midline fusion defects and craniofacial anomalies.
Int J Pediatr Otorhinolaryngol 2020;
131:109897. [PMID:
31981915 DOI:
10.1016/j.ijporl.2020.109897]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 01/19/2020] [Accepted: 01/19/2020] [Indexed: 11/30/2022]
Abstract
Duplication of the pituitary gland (DPG) is a phenomenon with no clear syndromic association. This case adds to the literature as a DPG-plus syndrome patient with multiple fusion defects of unknown etiology, fetal risk factors of first trimester tobacco usage and intrauterine drug exposure. An 8-month old female presented with noisy breathing, poor feeding, cleft palate, seizures and failure to thrive. MRI scan revealed duplicate pituitary gland, tubomammillary fusion, absent cleavage of brainstem and superior cerebellar peduncles, and cervical spinal malformations. We performed an airway evaluation, with a glossomandibulopexy for glossoptosis, and a primary palate repair.
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