A 15-year-old girl has to live with a 27-inch (68 cm) head which is far too big for her body and has left her unable to sit up or walk.
Shivani Kumari can no longer hold up her own head because of a devastating brain condition she developed three years ago.
The teenager, from Himachal Pradesh in India – about 220 miles north of New Delhi –developed the illness after she fell over while playing with friends.
Now diagnosed with hydrocephalus, a condition in which fluid builds up around the brain, Shivani has been left with a head the size of a large watermelon.
Hydrocephalus can be fatal if it is left untreated but the operation Shavini needs will cost £1,200, which her labourer father cannot pay for.
The condition is not rare – it is thought to affect around a million Americans – but is usually treated before it becomes as severe as Shivani's case.
Shivani Kumari, pictured with mother Kushla Devi and father Gurmeet Singh, has been left with a massively swollen head after she fell over while playing with friends three years ago
hivani cannot walk or sit up by herself because her head is now so heavy – it has swollen to around 27 inches in circumference.
Despite being born normal, her life has now been turned upside down by the unfortunate condition.
When hydrocephalus develops in children and adults it is usually caused by a brain injury such as a stroke, brain tumour, blood clot or damage from a head injury.