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Images in Neurology
April 2013

Symptomatic Neurocutaneous Melanosis in a Child

Author Affiliations

Author Affiliations: Division of Pediatric Neurology, Department of Pediatrics (Drs Jain, Kannan, and Gulati), Department of Pathology (Drs Sigamani and V. Suri), Department of Neurosurgery, Neurosciences Centre (Drs Basheer and A. Suri), and Department of Radio-Diagnosis, JPNA Trauma Centre (Dr Kumar), All India Institute of Medical Sciences, New Delhi, India.

JAMA Neurol. 2013;70(4):516. doi:10.1001/jamaneurol.2013.2230

A 3-year-old boy presented with focal seizures for 3 months. He had severe headache associated with nonprojectile vomiting. There was no history of altered sensorium or diminished vision. He was developmentally normal. Family history was unremarkable. The patient was irritable. There was a giant congenital nevus in “bathing-trunk” distribution with multiple satellite nevi (Figure 1A). There was atrophy of the left leg. There were no focal motor or sensory deficits. Muscle stretch reflexes were normal. The rest of the neurological and systemic examination was unremarkable.

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