Morgagni-Stewart-Morel syndrome presenting as acute neurological and respiratory distress

Morgagni-Stewart-Morel syndrome can exceptionally present with acute neurological and respiratory compromise, not just chronic neuropsychiatric symptoms. The presence of internal frontal hyperostosis, even if incidental, should prompt evaluation for underlying endocrine and neurological dysfunction.Timely airway management and correction of hormonal imbalances are essential to survival and recovery.Multidisciplinary collaboration is crucial in managing complex cases of Morgagni-Stewart-Morel syndrome, especially in acute settings where diagnosis is challenging.