RT Journal A1 Feingold M, O'Connor JF, Berkman M, Darling DB T1 KLeeblattschädel syndrome JF American Journal of Diseases of Children JO American Journal of Diseases of Children YR 1969 FD October 1 VO 118 IS 4 SP 589 OP 594 DO 10.1001/archpedi.1969.02100040591011 UL http://dx.doi.org/10.1001/archpedi.1969.02100040591011 AB IN 1960, Holtermueller and Wiedemann1 described a new case of cloverleaf skull and reviewed the literature. They named the entity the Kleeblattschädel syndrome. Comings2 and Angle et al3 subsequently described the only three reported cases in the American literature.The major diagnostic features of this syndrome include a grotesque, trilobed skull resulting from congenital premature synostosis of the coronal and lambdoidal sutures (plus other sutures as described in our patients); severe exophthalmos; deformities of the long bones resembling achondroplasia; mental retardation; and an early demise.1-5Two new cases of the Kleeblattschädel syndrome are reported. The first a 14-year-old girl, is the oldest recorded patient, and the second represents the typical long bone changes.Report of Cases  Case 1.—The first patient, a 14-year-old white girl, was the product of a 33-year-old, gravida 4, para 2, abortus 2 mother and a 34-year-old father. The pregnancy was not complicated