Pallister-Killian Syndrome is one of the etiologies of severe intellectual disability with a peculiar face, caused by mosaicism for tetrasomy of chromosome 12p. It is characterized by severe mental retardation, hypotonia, sparse bitemporal hair, sparse eyebrows and eye lashes, a coarse face, hypertelorism, chubby cheeks, cupid bow lips and no speech. In this article, we report a 3-year-old girl with severe mental retardation, no speech and a peculiar face. CGH array documented Pallister-Killian Syndrome.