A sword that cuts deeper than the skin

Background: Morphea en coup de sabre (ECDS), which literally means "blow from a sword," is a type of linear morphea affecting the frontoparietal scalp and/or the paramedian forehead. Neurologic findings are common with ECDS, most common being complex partial seizures and headaches. Brain involvement evident on neuroimaging can be seen both in symptomatic and asymptomatic patients. Here we present a rare case of ECDS and epilepsy with MRI findings of ipsilateral porencephalic brain cyst.

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