Intracranial Vascular Tortuosity in an Infant With Dysmorphic Facies

Abstract

A 17-month-old female with a history of pulmonary artery stenosis, diminutive descending aorta, abnormal facies, but no extracranial tortuosity was evaluated in a child neurology clinic for mild motor developmental delay. She was born at term, weighing 2.8 kg (22nd percentile), with a head circumference of 33 cm (10th percentile). The patient sat upright at 9 months, crawled at 12 months, and had not begun walking. She was cruising at the time of evaluation. Language and social development were normal.