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Giant Congenital Melanocytic Nevi in a Patient With Brain Structural Malformations and Multiple Lipomatosis

Department of Radiology, Red Cross Children's Hospital Cape Town, South Africa

Ronald Van Toorn

Department of Paediatric Neurology, Red Cross Children's Hospital Cape Town, South Africa

Jo M. Wilmshurst

Department of Paediatric Neurology, Red Cross Children's Hospital Cape Town, South Africa

We present a 9-year-old boy diagnosed from birth with giant congenital melanocytic nevi. He had central structural brain malformations of hemimegalencephaly of the right frontotemporal lobe and left occipitoparietal lobe, choroid plexus hypertrophy, and a Dandy-Walker variant. In addition, he developed multiple lipomatoses. These lesions were cutaneous except for two at the cerebellopontine angles, which were present from birth. This patient represents a rarely documented example of two histopathologies resulting in serious complications. The diagnostic issues and histopathologic process are discussed. (J Child Neurol 2002;17: 289-291).

Journal of Child Neurology, Vol. 17, No. 4, 289-291 (2002)
DOI: 10.1177/088307380201700410


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