case_images: PMC11215277_01
case_images: This is a patient's image showing the left fronto-maxillary reddish-purple patch, which indicated port-wine of the face.
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case_images: There was no facial asymmetry at the time of admission, but a red-purple facial skin lesion was visible at the ophthalmic and maxillary divisions of the left side of the face (Figure 1).
case_images: A computed tomography of the brain reveals unilateral left-sided moderate atrophy of the cerebral hemisphere (A) with extensive gyriform cortical-subcortical (tram-track) calcifications (B).
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case_images: PMC11215277_01_IMCRJ-17-621-g0002.jpg
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case_images: A computed tomography scan of the brain showed that the left hemisphere of the brain was moderately atrophying and had a lot of gyriform cortical-subcortical (tram-track) calcification (Figure 2A and B).
case_images: Magnetic Resonance imaging of the brain which shows left cerebral hemisphere, prominent atrophic changes at the sulcus and fissures of the parietal lobe and thickening of the adjacent of the left parietal lobe are noteworthy (A and B). There is no diffusion restriction (C). After Intravenous contrast injection (D). There is gyral-meningeal contrast enhancement in the cortical regions in the areas described of the left parietal lobe.
case_images: IMCRJ-17-621-g0003.jpg
case_images: PMC11215277_01_IMCRJ-17-621-g0003.jpg
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case_images: To confirm further, we conducted a brain MRI with contrast, which revealed prominent atrophic changes at the sulcus and fissures of the parietal lobe, thickening of the adjacent left parietal bone for the left cerebral hemisphere, and gyral-meningeal contrast enhancement in the left parietal lobe (Figure 3A-D).