The case of a 3-month-old-female infant with oral-facial-digital malformations is reported. Ventriculogram disclosed widened lateral ventricles with lack of communication with the cisterna magna probably because of congenital defect in the formation of the aqueduct of Sylvius. There was communication with a porencephalic cyst present in the anterior fossa. A review of the literature indicates that porencephalies and hydrocephalus appear to be fairly common malformations associated with the OFD syndrome. Dermatoglyphic studies have shown an excess of whorl patterns on the digits. The karyotype was 46,XX.