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Arden E. Fredeking, MD; Robert A. Silverman, MD

Arch Dermatol. 2008;144(8):984-986.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 6-year-old boy presented with 4 areas of ulceration on the right side of his face and scalp. Medical history was significant for a right-sided exophytic juvenile pilocystic astrocytoma that was diagnosed at 5 years of age after he developed a persistent head tilt to the left. Postoperative scans disclosed minimal residual tumor in the lateral brainstem.

Within a year, the patient noticed the absence of sensation on his right cheek and lip and no taste on the right side of his tongue. He began drooling from the right side of his mouth, and his parents noticed that his smile was uneven as well. A residual tumor had grown to impinge on cranial nerves V and VII, and the patient underwent a second craniotomy in an attempt to restore function. The entire tumor was removed with this second surgery, but 3 months . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT

AUTHOR INFORMATION

Department of Dermatology, Washington Hospital Center (Dr Fredeking), and Division of Dermatology, Georgetown University Hospital (Dr Silverman), Washington, DC

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