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• W2023921862 abstract "A NUMBER of cases have been described recently in which a hemangiomatous nevus of the face is associated with a calcified intracranial hemangioma. The following two cases are further examples of this affection. Case Report Case 1. History.—F. D., a boy, aged 8 years, who gave no history of familial disposition. One younger sister is normal. Shortly after birth the parents noted a port-wine nevus on the left half of his face. The mother states that at the age of four months the patient had an attack of high fever with fits, and after that “paralysis of the right side.” Since then, he has had several fits daily which last one or two minutes. The child is very active during the day and very restless at night. He does not go to school. Examination.—The patient is normal in size and development. He weighs 22.3 kg.; length is 121 centimeters. The left side of the face is the seat of a large angioma of the “port wine-stain” type, which extends from the nose over the left side of the forehead; otherwise his skin is normal. His skeleton and internal organs do not show anything abnormal. Neurologic Examination.—The patient's left pupil is larger than the right, and his right pupil reacts less to light than his left. His right eye is in position of abduction which is maximally increased on convergence. His vision as far as can be tested is r, 5∕50; 1, 5∕15. Eye fundus: nothing abnormal. The patient has facial paralysis on the right side; the other cranial nerves are normal. His right arm shows spastic paresis with increased reflexes. The right arm is 3 cm. shorter than the left. There is no marked atrophy. There is slight motor weakness of the right leg as compared with the left. Knee and ankle jerks are equal on both sides. Sensation is normal, with no ataxia. Speech and intelligence are normal. The child writes his name with his left hand, and is able to count. Description of Fits.—At the onset the child yells, falls to the ground, becomes rigid, his face pales, and he is incontinent. The fit lasts for about one minute. Radiogram.—The skull films (Figs. 1 and 2) show, in the region anterior to the coronal suture but more pronounced in the region of the parietal bone and occiput on the left side, sinuous shadows which seem to imitate the gyriform appearance of the brain cortex. In extent they correspond to convolutions of the frontal, parietal, temporal, and occipital lobes of the cerebrum. There are no shadows in the area of the cerebellum. The opacities are strictly localized on one side. They show a very sharp and straight medial border a little to the left of the middle line. In cases in which the sinuous shadows correspond to the sulci of the brain, we usually find two lines running parallel for a distance of about one millimeter." @default.
• W2023921862 created "2016-06-24" @default.
• W2023921862 creator A5077075478 @default.
• W2023921862 date "1936-07-01" @default.
• W2023921862 modified "2023-10-17" @default.
• W2023921862 title "Calcification of the Brain Cortex Associated with Hemangioma of the Face and Meninges" @default.
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• W2023921862 doi "https://doi.org/10.1148/27.1.75" @default.
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