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Yogesh Shukla, Avyact Agrawal, Pradeep Mishra
Department of Pediatrics, Netaji Subhash Chandra Bose Medical College & Hospital, Jabalpur, Madhya Pradesh, India

Address for Correspondence: Dr. Yogesh Shukla, C/O Mr. H P Awasthi, H NO: 2868 Brahman Mohalla, Garha Purwa, Jabalpur, Madhya Pradesh 482003, India. E-mail:

An 8 year old female born of non-consanguineous marriage presented with weakness of left side upper and lower limb, generalized headache, bodyache for one day. There was also one episode of loss of consciousness for few minutes. Past medical history revealed that patient had transient weakness of left side of body and convulsive disorder since the age of 8 months for which she was under treatment. Child also had delayed developmental milestones. On examination a large port-wine stain involving both sides of face along the ophthalmic and mandibular divisions of trigeminal nerve and neck region was present. (Figure 1) On ophthalmological evaluation, she had bilateral megalocornea with vertical diameter of 14mm. Neuro retinal rim was unhealthy and nasal shifting of vessels was seen. There was hypotonia on left side of body and deep tendon reflexes were decreased over left side of the body. Other systemic examination was normal. CT brain showed right cerebral hemisphere and left occipital atrophy with linear and clumped gyral calcification. MRI brain showed right hemispheric atrophy with diffuse gyral enhancement involving right cerebral hemisphere & left occipital lobe, enhancing choroid in both eyeballs suggestive of choroidal angioma.

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