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BMJ Case Rep. 2010; 2010: bcr0420102873.
Published online Sep 13, 2010. doi:  10.1136/bcr.04.2010.2873
PMCID: PMC3027727
Unusual association of diseases/symptoms
Cleft palate, arachnoid cyst and posterior urethral valve
Sanwar Agrawal,1 Anju Parakh,2 and Arun Agrawalla2
1Department of Pediatrics, Ekta Institute of Child Health, Raipur, India
2Ekta Hospital, Raipur, India
Correspondence to Sanwar Agrawal, drsanwar50/at/gmail.com
Abstract
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.
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