Microcephaly - Rubinstein-Taybi syndrome
Scanned for head injury. Mental retardation from birth.
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Non contrast CT of the brain and face demonstrates swelling over the left orbit without fracture. There is marked microcephaly with thickening of the skull. The nose is large, beaked with the a broad base.
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This young man is known to have Rubinstein-Taybi syndrome accounting for the microcephaly and facial appearance.