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Cloverleaf skull and multiple congenital anomalies in a girl exposed to cocaine in utero: case report and review of the literature
Authors:M. C. Esmer  G. Rodriguez-Soto  D. Carrasco-Daza  M. L. Iracheta  V. Del Castillo
Affiliation:(1) Department of Research in Human Genetics, Instituto Nacional de Pediatría, Insurgentes Sur 3700-C, CP. 04530, Mexico, DF e-mail: cesmer_98@yahoo.com Fax: +52-5-6069455, MX;(2) Outpatient Department, Instituto Nacional de Pediatría, Insurgentes Sur 3700-C, Insurgentes-Cuicuilco, Tlalpan, CP. 04530, Mexico, DF, MX;(3) Department of Pathology, Instituto Nacional de Pediatría, Insurgentes Sur 3700-C, Insurgentes-Cuicuilco, Tlalpan, CP. 04530, Mexico, DF, MX
Abstract:The case of a girl with cloverleaf skull (CLS) and multiple congenital anomalies is reported. Both parents have a history of drug use. Maternal cocaine abuse during the first trimester of pregnancy was obvious, and other drugs, such as marihuana and alcohol, were also taken by the mother. Many central nervous system malformations have been reported in association with cocaine abuse, the most severe being midline defects and neural tube defects. To our knowledge this is the first case reported of CLS anomaly associated with drug exposure. We also describe other anomalies not previously reported in association with CLS. Received: 28 May 1998
Keywords:  Cloverleaf skull  Cocaine abuse  Craniosynostosis  Kleeblattsch?del
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