Transorbital cerebellar airgun pellet injury

syndrome. The cerebellum within those cephaloceles is usually dysplastic and gliotic. Plexiform NF, hallmark of NF-I are found in 30-40% of all patients with NF-I. They usually arise along the axis of a major nerve, are unencapsulated and infiltrate producing fusiform appearance. They commonly occur along orbital division of V nerve, but other areas are not exempt often associated with sphenoidal dysplasias, they are hypervascular and enhance intensely on post contrast MR. Our patient had an occipital encephalocele with dysplastic cerebellum. However, the presence of additional parietal bony defects a finding well described in NF-I and the associated plexiform neurofibroma of the adjacent scalp suggests that the bony defect in our case could be due to the mesodermal dysplasia of NF-I. The peculiarity of this case of NF-I lies not in the presence of plexiform NF, bony dysplasia or cephalocele, findings well documented in literature, but in their unusual occipital location a site hitherto reported till now only in one case so far to the best of our knowledge.