The Meckel syndrome (MS) is an autosomal recessive disorder classicall
y defined by the triad of occipital encephalocele, multicystic kidneys
, and polydactyly. Here we describe 3 sibs with varying manifestations
of MS, The propositus had isolated cystic renal disease, The other si
bs were both prenatally diagnosed with renal disease, polydactyly, and
the Dandy-Walker malformation, an unusual central nervous system defe
ct in MS, These findings are discussed in the context of the phenotypi
c expression of MS and the nosology of this disorder and the cerebro-r
eno-digital (Meckel-like) syndromes. (C) 1995 Wiley-Liss, Inc.