Other symptoms include severe craniofacial disfiguration, psychomotor delay, and neuronal migration defects. Dermal neurofibromas can lead to stinging, itching, pain, and disfiguration. Long-term consequences include permanent curvatures or disfiguration of the long bones, and a curved back. The "C. weirii" fungus survives by infecting young needles, causing reduced growth and disfiguration. Three of the four victims could not immediately be identified due to severe disfiguration. The song "The Symmetry of Disfiguration" was inspired by Wendy and Richard Pini's "Elfquest" series. As a result of his disfiguration, Jono can only speak via telepathy.