title: Giant congenital nevus and chronic progressive ascending hemiparesis (Mills syndrome). Report of a case.
abstract: We describe the case of a 20 year old boy with a giant congenital nevus who developed a chronic progressive ascending hemiparesis. The association of the pigmented lesion with a focal neurological deficit is pathognomonic for neurocutaneous melanosis complicated by a leptomeningeal melanoma. MR imaging at 1.5 tesla ruled out such a possibility and showed a small aspecific pontine lesion along the route of the corticospinal tract. We discuss possible etiologies.
authors.affiliation: Clinica Neurologica, Università di Brescia.
authors.forename: G B
authors.initials: GB
authors.lastname: Frisoni
authors.forename: R
authors.initials: R
authors.lastname: Gasparotti
authors.forename: V
authors.initials: V
authors.lastname: Di Monda
mesh_terms: D000328:Adult; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008548:Melanosis / Q000175:diagnosis; D009508:Nevus, Pigmented / Q000150:complications / Q000151:congenital* / Q000473:pathology; D012878:Skin Neoplasms / Q000150:complications / Q000151:congenital* / Q000473:pathology; D013577:Syndrome