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J Med Case Rep. 2011 Jun 21;5:222. doi: 10.1186/1752-1947-5-222.

Opitz trigonocephaly syndrome presenting with sudden unexplained death in the operating room: a case report.

Journal of medical case reports

Laura Travan, Vanna Pecile, Mariacristina Fertz, Antonella Fabretto, Pierpaolo Brovedani, Sergio Demarini, John M Opitz

Affiliations

  1. Neonatal Intensive Care Unit, Institute for Maternal and Child Health Burlo Garofolo, Via dell'Istria 65/1, 34100, Trieste, Italy. [email protected].

PMID: 21689463 PMCID: PMC3141689 DOI: 10.1186/1752-1947-5-222

Abstract

INTRODUCTION: Opitz trigonocephaly C syndrome (OTCS) is a rare malformation syndrome with the following features: synostosis of metopic suture, craniofacial abnormalities, severe mental retardation and a multitude of pathological findings affecting almost every organ system. OTCS is associated with a high mortality rate.

CASE PRESENTATION: We describe the case of a Caucasian male baby who died at five months of age during surgical correction of the craniofacial anomaly.

CONCLUSION: As previously reported, OTCS may have an increased mortality rate during craniofacial surgery. Careful evaluation of surgery risk-benefit ratio is warranted in such patients.

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