A 4 month old infant weighing 8kg having severe hypertension,blindness(cortical),gross developmental delay(global).Fundus no pailedema but elliptical in shape.S. cortisol slightly raised (both morning and evening levels).Can Cushings syndrome present with these additional features or is it another syndrome?

This child seems to have a syndrome that you would need to check up in the medline or in birth defects. Does the child have ambiguous genitalia? If yes, CAH should be considered. Also rule out coarctation of aorta in view of hypertension and cortical blindness that could be due to vascular malformation in the circle of Willis. The child may require imaging to check for the adrenal malformation and also for kidneys. An MRI of the brain may also help for global developmental delay to look for any structural malformation.