“…The concurrence of symmetrical limb deficiencies and cleft palate are features known to occur in Roberts syndrome, another rare autosomal recessive MCA syndrome characterized by symmetrical limb defects, midfacial clefting, and premature centromeric division in chromosome studies [Fryns et al, 1987; Wertelecki, 1990; Benzacken et al, 1996; de Ravel et al, 1997; Pavlopoulos et al, 1998]. In affected children, abnormal brain segmentation, interocular encephalocoeles, ocular malformations, maxillary agenesis, agenesis of the nostrils, and spina bifida have also been documented [Wertelecki, 1990].…”