A total of 2,305 consecutive newborns at Shariati Hospital, Tehran, Iran, and 1,706 at Lolagar Hospital, Tehran, Iran, were examined for 2 years (2004-2006). Mongolian spots were found in 11.4% and 37.3% of newborns at Shariati and Lolagar hospitals, respectively. The most frequent site of involvement is the sacral, followed by the gluteal area.

Epileptic spasm (ES), one of the most common and catastrophic epilepsy syndromes predominantly in infancy, is classified in focal, generalized and unknown onset groups [3].The term of infantile spasms (IS) was suggested for the first time by International League Against Epilepsy (ILAE) workshop commission, 1991. ES is a widely accepted terminology instead of infantile spasms, to presenting a more