anterior plagiocephaly in an atypical case of apert syndrome

apert syndrome is a congenital craniosynostosis syndrome comprising of bilateral coronal synostosis , symmetric syndactyly of hands and feet and midface hypoplasia. we present an atypical phenotype of this syndrome with right sided unilateral coronal synostosis. however, type i apert hand and other clinical and radiological features suggestthe diagnosis. genetic analysis revealed an absence of the specific missense mutations in the fgfr 2 gene that is found in patients with this syndrome. we conclude that this patient represented a rare atypical variant of apert syndrome. further analysis is required to map the associated genotype.