Cardiospondylocarpofacial syndrome is a very rare genetic disorder which is characterized by cardiac, digital, osseous anomalies with facial dysmorphisms

Signs and symptoms
The following is a list of the symptoms most commonly exhibited:
Variable vertebral anomalies
Brachydactyly
Conductive hearing loss
High palate
Mitral regurgitation
Mitral valve prolapse
Short stature, nearing dwarfism
Short palms
Carpal bone synostosisLess common symptoms include:

Failure for permanent teeth to erupt
Teeth misalignment
Horseshoe kidney
Dentition anomalies
Ocular anomalies
Nostril anteversion
Epiphysis in the shape of a cone
Congenital hearing loss
Decresed testes size (males)
Skeletal maturation delay
Feeding difficulties
Freckles
Apple cheeks
Gastroesophageal reflux
Hypertelorism
Joint hypermobility
Long philtrum
Rotated ears
Pseudoepiphyses
High frequency of middle ear infections
Rib synostosis
Scoliosis
Small foot
Strabismus
Tarsal synostosis
Telecanthus
Upslanted parpebral fissures
Broad nasal bridge
Vesicoureteral reflux

Causes
It is caused by autosomal dominant mutations of the MAP3K7 gene in the long arm of chromosome 6. Epidemiology
Only 12 cases worldwide have been described in medical literature. == References ==
Kernigs sign
Kernigs sign (after Waldemar Kernig (1840–1917), a Russian neurologist) is positive when the thigh is flexed at the hip and knee at 90 degree angles, and subsequent extension in the knee is painful (leading to resistance). This may indicate subarachnoid hemorrhage or meningitis. Patients may also show opisthotonus—spasm of the whole body that leads to legs and head being bent back and body bowed forward. Brudzinskis signs
Jozef Brudzinski (1874–1917), a Polish pediatrician, is credited with several signs in meningitis. The most commonly used sign (Brudzinskis neck sign) is positive when the forced flexion of the neck elicits a reflex flexion of the hips, with the patient lying supine.Other signs attributed to Brudzinski:
The symphyseal sign, in which pressure on the pubic symphysis leads to abduction of the leg and reflexive hip and knee flexion. The cheek sign, in which pressure on the cheek below the zygoma leads to rising and flexion in the forearm. Brudzinskis reflex, in which passive flexion of one knee into the abdomen leads to involuntary flexion in the opposite leg, and stretching of a limb that was flexed leads to contralateral extension. See also
Meningitis
Meningoencephalitis

References
External links

FPnotebook page on meningeal signs
Image of Kernigs sign