The “Candlestick Sign” on Head Ultrasound Imaging

A 1970-g female neonate was born via cesarean delivery, due to spontaneous placental abruption and intrauterine hemorrhage, at 37 weeks of gestation. Her appearance was characterized by microcephaly, low-set ears, nose and frontal bone hypoplasia, and postaxial polydactyly in the right hand. Her occipitofrontal circumference was 28.5 cm (<3 centile) and length 45 cm (<3 centile). Her blood pressure was normal and laboratory diagnostic test results were within normal limits.

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