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At a glance

A very rare syndrome characterized by association of four clinical features, including craniosynostosis, exostoses, nevus, and epibulbar dermoids.


Craniosynostosis, Exostoses, Nevus, Epibulbar Dermoids Syndrome.

Clinical aspects

Clinical features include mental retardation, conductive deafness, craniofacial anomalies (frontal bossing, thickened skull, sutural synostosis, facial structural asymmetry, flared nostrils, broad nose), myopia, speech defect, multiple exostoses, pigmented nevi, and epibulbar dermoids.

Anesthetic considerations

Direct laryngoscopy and tracheal intubation can be difficult because of malformation and has to be evaluated carefully (clinical, radiograph). Careful intraoperative positioning is necessary. Aminoglycosides should be used cautiously because of their otologic effects.


Thanos  C, Stewart  RE, Zonana  J: Craniosynostosis, bony exostoses, epibulbar dermoids, epidermal nevus and slow development. Case Report 57 5:19, 1977.

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