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Hidden from Plain Sight: A Classic Neurocutaneous Syndrome without Cutaneous Manifestation

A female in her forties with glaucoma was admitted with a cluster of focal epileptic seizures consisting of impaired awareness, forced head turning to the left, and jerking of the left upper and left lower limbs. Following stabilisation, neurological examination detected a left homonymous hemianopia and mild left hemiparesis. The focal nature of her seizure semiology and persisting neurological signs suggested the possibility of a right hemispheric structural lesion, thus further investigation with neuroimaging was required.