case_images: PMC7027183_01
case_images: The patient aged 15 with his mother and younger sister, showing the large FCP in the right temporal region.
case_images: umj-89-01-14-g001.jpg
case_images: PMC7027183_01_umj-89-01-14-g001.jpg
case_images: f01
case_images: The patient, aged 80 years on most recent examination in 2018, had an onset of tonic- clonic seizures at eleven months old, following earlier appearance in infancy of a large cephalic plaque (Figure 1).
case_images: Frontal and right lateral views of the patient aged 41 showing severe angiofibromas (2a) and the FCP (2b).
case_images: umj-89-01-14-g002.jpg
case_images: PMC7027183_01_umj-89-01-14-g002.jpg
case_images: f02
case_images: Examination at 41years noted the cephalic plaque on the right temple measuring 92x90mm (from scale photographs) on its longest axis, and multiple facial angiofibromas (Figure 2a,b).
case_images: Frontolateral and right lateral views of the patient aged 80 showing less vascularization of the angiofibromas (3a) and resolution of the FCP (3b).
case_images: umj-89-01-14-g003.jpg
case_images: PMC7027183_01_umj-89-01-14-g003.jpg
case_images: f03
case_images: At 80 years he was having 1-2 partial seizures per week, controlled with Levetiracetam (Keppra), and clonazepam, and his angiofibromas had lessened in intensity, redness and size (Figure 3a) compared to age 41. His cephalic plaque had a residual diameter of 88x87mm with a small ridge remaining at the frontal border and the majority of the plaque area is now confluent with the scalp skin (Figure 3b).