A 4 year-old boy was referred for diagnostic reevaluation with known pulmon
ary valve stenosis. Physical examination revealed multiple cafe-au-lait spo
ts, inguinal freckling and on the right side in supraclavicular region a so
ftly, non-painful tumour. The boy showed a mild mental and language retarda
tion. Ultrasound and MRT demonstrated supraclavicular a plexiform neurofibr
oma and intracranial increased intensity lesions in basal ganglia and mesen
cephalon, In our patient, we have diagnosed a Watson-Syndrom, the overlap a
nd differences to neurofibromatosis type I is discussed.