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A 3-month-old girl presented with developmental delay and clustered asymmetric epileptic spasms (video 1). She was first-born to nonconsanguineous healthy parents with a smooth perinatal transition. Examination revealed normal head size, central hypotonia, and characteristic fundus findings (figure 1, A and B). EEG revealed hypsarrhythmia (figure 1C). Peculiar fundus and neuroimaging findings (figure 2) confirmed the diagnosis of Aicardi syndrome (AS).
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