We report on a 7-year-old boy with microcephaly, bitemporal hollowing,
low sloping forehead, slightly prominent occiput, widely set eyes, br
oad and prominent nasal bridge, and severe postnatal growth deficiency
. Hypertonia, hyperreflexia, seizures, and profound mental retardation
were also present. Brain MRI documented partial agyric cortex with pa
tchy pachygyria, colpocephaly, and hypoplasia of corpus callosum and b
rain stem, which is consistent with the diagnosis of lissencephaly typ
e I grade 2. On the basis of his phenotypic appearance the patient is
considered to have the Norman-Roberts syndrome. Molecular studies, per
formed by means of in situ hybridization and DNA probe analysis, did n
ot demonstrate deletion in the Miller-Dieker/isolated Lissencephaly cr
itical region on the short arm of chromosome 17. (C) 1993 Wiley-Liss,
Inc.