We report the first case (to our knowledge) in the English-language literature of stroke syndrome associated with a widespread sebaceous nevus. A 25-year-old white woman presented with the sudden onset of left-sided weakness, dysarthria, and hypotension. She was diagnosed as having Bell palsy 12 days before presentation and was treated with prednisone. Her medical history was significant for a right ocular mass that had been resected when she was 5 years old. She had no history of seizures or cardiovascular, renal, or skeletal problems. Her family history was unremarkable. Her only daily medication was an oral contraceptive.
Zhu I, Weston WL. Nevus Sebaceous and Stroke. Arch Dermatol. 2005;141(5):648-649. doi:10.1001/archderm.141.5.648