In 1950-51, Waardenburg (15,16,17) showed that some well-known developmental anomalies in the interocular region associated with deafness and certain pigmentary defects constitute a syndrome which is inherited as a dominant character. The syndrome consists of the following features: lateroverse dystopia of the medial canthi (estimated penetrance, 99 O/O), prominent nose root (78 O / o ) , hyperblasia of the medial part of the eyebrows with frequent overgrowth (synophrys) (45 O/O), heterochromia iridum (25 O/O), unilateral deafness or deafmutism (20 U/O), a white hair lock (17 O/O) and, in some cases, vitiligo-like pigmentary defects of the skin. Premature greying of the scalp hair is, according to Waardenburg, equivalent to the white hair lock.After having shown that the characteristic features of the syndrome are normal at the beginning of the third month of embryonic life, Waardenburg expressed the view that the syndrome owes its features to a fixation of the foetal characters through an arrest of normal development (14).A number of single cases have been published, including a sporadic one by the Danish investigator Brtendstrup (3) in 1941. An interesting divergent case with extensive vitiligo, cranial deformities and multiple dysplasia of the upper extremities was presented by Klein ( 8 ) in 1950. Keizer (7) and Wildervanck (13) added several Dutch families to the nine considered by Waardenburg. Other families have been described from Switzerland (2), France (lo), England (9, l l ) , Denmark (Arnvig (l)), Spain (6) and the U. S. A., where Di George et al. ( 4 ) presented the first cases among Negroes.These are of particular interest, since some of the patients had double-sided blue eyes, i. e. bilateral hypochromia of the irides.In histological studies of affected internal ears, Fisch ( 5 ) revealed the absence of the organ of Corti and of the greater part of the ganglion cells of the spiral ' $) Received October 12th 1962.