The ‘morning glory’ syndrome

Unexpected difficult intubation in the patient with Morning Glory syndrome

“…Females are affected almost twice as frequently as males and the right side is involved more frequently than the left (60%). Generally, Morning Glory syndrome is an isolated ocular abnormality; however, there is evidence in the recent literature of associated systemic abnormalities ( 1–13). The most frequently reported systemic associations are basal myelomeningoceles, encephaloceles, agenesis of the corpus callosum and defects in the floor of the sella turcica.…”

“…Generally, it is an isolated ocular abnormality, however, systemic associations reported with this syndrome are of importance to the anaesthesiologist. Basal myelomeningoceles, midline facial defects such as hypertelorism, cleft lip and palate, agenesis of the corpus callosum, renal abnormalities and the CHARGE association have been described with this syndrome ( 1–13). There are no reports in the literature about anaesthetic implications concerning manage‐ ment of patients with Morning Glory syndrome.…”