Background. Encephalocranicutaneous lipomatosis (ECL) involving the sc
alp and cerebellum was observed without asymptomatic expression. Case
report. A seven-month-old infant presented with two soft subcutaneous
hairless tumors of the scalp without any associated clinical anomaly.
Neuroradiology explorations (radiography, CT-scan and MRI) showed a li
poma in the cerebellum linked with a occipital cutaneous lipoma throug
h a bone defect. At the age of 3 years, the child remains healthy. Dis
cussion. ECL is a rare neurocutaneous disorder that consists of skin l
ipomas associated with various cerebral anomalies. ECL may occur as a
circumscribed form of the Proteus syndrome, since a few ECL patients h
ave associated manifestations of Proteus syndrome as well as localized
hypertrophy. However, minor forms of ECL are possible and may be comp
atible with normal life.