High vertebral anomalies, webbed neck, heterochromia of the iris and cleft palate

A female infant is presented; weight was 2.5 kg, length 48 cm and head circumference 36 cm. Her head was normocephalic, but mild asymmetry of the face was noted. The right iris was blue and the left one was brown. Pupils were equal and reacted to light. Fundi were normal. The ears were low set and there was a small preauricular skin tag on the left side. A midline cleft palate was present. Mandible was somewhat small. The neck was short and webbing was prominent. Chest x ray film of the spine demonstrated spina bifida, hypoplasia of the vertebras of the cervical and upper thoracic regions, besides Sprengle deformity on the right with the omovertebral bar. This case presents an unusual combination of anomalies previously not reported all in one patient.