Hemimegalencephaly is a rare disorder which may present alone or be associated with hemicor-poral gigantism. However, an association with crossed hemicorporal gigantism involving different upper and lower halves of the body along with se-lective visceromegaly is, so far, unreported in liter-ature.A 14-year-old male presented with a crossed variety of hemi-gigantism associated with a mild form of hemimegalencephaly affecting the left cer-ebral and cerebellar hemispheres. On ultrasound, left renomegaly was noted, though no pathology or dysfunction of the organ could be demonstrated.This case merited a report due to an unusual presentation that defies explanations offered so far for the condition.
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