Congenital varicella syndrome is a rare disorder which follows maternal inf
ection in the first or early second trimester, The syndrome comprises a num
ber of malformations including microcephaly, cortical destruction and limb
hypoplasia, We describe a case where there has been long-term survival foll
owing second trimester maternal infection. The clinical findings, including
the characteristic lower limb hypoplasia, are documented, as are the appea
rances on cranial MRI indicating an encephaloclastic porencephaly.