We report on two children with hemihypertrophy and ipsilateral hemimeg
alencephaly. Vascular lesions in one were consistent with a diagnosis
of the Klippel-Trenaunay-Weber Syndrome. MRI performed in the first da
ys of life and at 1 month of age revealed the presence of the neuronal
anomaly. Conclusion The occurrence of hemimegalencephaly in our patie
nts indicates that hemihypertrophy and vascular dysplasia are pathogen
etically related phenomena of a continuous spectrum in which this brai
n disorder may appear.