1. Macrocephaly (≥ 2 Standard Deviations from Mean) AND 2. At least one of the following four additional criteria  A. Autism or Developmental Delay  B. Dermatologic features, including lipomas, trichilemmomas, oral papillomas, or penile freckling  C. Vascular features, such as arteriovenous malformations or hemangiomas  D. Gastrointestinal Polyps |