PMC3551519_01
Patient photograph shows (a) hypertelorism (white arrow), parrot beak nose (black arrow). (b) Profile view shows hypoplastic maxilla (white arrow) leading prognathism of mandible (black arrow) and exophthalmos (smallwhitearrow). (c) Intra oral view shows high arch palate (black arrow). (d) Front view of the teeth reveal hypoplastic maxilla (white arrow) and class III malocclusion (black arrow).
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F1
Intra-oral examination revealed high arch palate, hypoplastic maxilla causing prognathism of the mandible, and class III malocclusion [Figure 1a-d].
Lateral skull projection reveals mandibular prognathism (white arrow), maxillary hypoplasia, copper beaten appearance, and enlarged hypophyseal cavity (black arrow).
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F2
Lateral skull view demonstrated a retruded maxilla with a relatively large mandible and copper beaten appearance [Figure 2].
Anteroposterior spine radiograph shows decreased intervertebral space between C5 and C6 (black arrow).
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F3
On anteroposterior spine radiograph, decreased intervertebral space between C5 and C6 vertebrae was seen [Figure 3].
Paranasal sinus view shows prominent convolution markings suggestive of copper beaten appearance (black arrow).
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F4
Paranasal sinus view revealed obliterated sutures, small paranasal sinuses, and prominent cranial markings of the inner surface of cranial vault seen as multiple radiolucencies appearing as depressions (digital impressions) [Figure 4].
Three-dimensional (3D) computed tomographic images of skull show increased circumference of the skull
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F5
Three-dimensional (3D) computed tomographic images of the skull revealed increased circumference of the skull and moderate degree of hydrocephalus with diffuse indentation of inner table of the skull [Figures 5 and 6].
Computed tomography (CT) image of the skull shows moderate degree of hydrocephalus with diffuse indentation of inner table of skull (black arrow).
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F6
Three-dimensional (3D) computed tomographic images of the skull revealed increased circumference of the skull and moderate degree of hydrocephalus with diffuse indentation of inner table of the skull [Figures 5 and 6].