Topzle Topzle

Sturge–Weber syndrome

Updated: Wikipedia source

Sturge–Weber syndrome

Sturge–Weber syndrome, sometimes referred to as encephalotrigeminal angiomatosis, is a rare type of phakomatosis, a congenital disorder that affects the central nervous system, skin, and eyes. It is often associated with port-wine stains of the face. Clinical manifestations include glaucoma, choroidal lesions, seizures, intellectual disability, and benign tumors of the blood vessels of the leptomeninges. Sturge–Weber originates from embryonic development, resulting from errors in mesodermal and ectodermal development. Unlike other phakomatoses, Sturge–Weber occurs sporadically (i.e., does not have a hereditary cause). It is caused by a mosaic, somatic activating mutation occurring in the GNAQ gene. Diagnosis is usually done through imaging; findings may include tram track calcifications in the cerebral cortex on a CT scan, angiomatosis of the pia mater, and hemicerebral atrophy. Managing Sturge–Weber focuses on treating the symptoms as they appear. Around 1 in 50,000 newborns are affected by the disease. It was originally described in 1879 by William Allen Sturge.

Infobox

Other names
Sturge–Weber–Krabbe disease
Specialty
Medical genetics

Tables

· Signs and symptoms
Seizures
Seizures
Presentation
Seizures
Col 2
75–90%
Vascular headache
Vascular headache
Presentation
Vascular headache
Col 2
40–60%
Developmental (cognitive) delay
Developmental (cognitive) delay
Presentation
Developmental (cognitive) delay
Col 2
50–70%
Glaucoma
Glaucoma
Presentation
Glaucoma
Col 2
30–70%
Hemianopsia
Hemianopsia
Presentation
Hemianopsia
Col 2
40–45%
Hemiparesis
Hemiparesis
Presentation
Hemiparesis
Col 2
25–60%
Presentation
Seizures
75–90%
Vascular headache
40–60%
Developmental (cognitive) delay
50–70%
Glaucoma
30–70%
Hemianopsia
40–45%
Hemiparesis
25–60%
· Treatment
Glaucoma
Glaucoma
Complication
Glaucoma
Treatment (1st choice)
Beta blocker drops
Treatment (2nd choice)
Adrenergic drops
Partial epilepsy
Partial epilepsy
Complication
Partial epilepsy
Treatment (1st choice)
Carbamazepine
Treatment (2nd choice)
Valproate, topiramate
Headache
Headache
Complication
Headache
Treatment (1st choice)
Ibuprofen
Treatment (2nd choice)
Sumatriptan
Stroke-like episodes
Stroke-like episodes
Complication
Stroke-like episodes
Treatment (1st choice)
Aspirin
Treatment (2nd choice)
None
Neurobehavior
Neurobehavior
Complication
Neurobehavior
Treatment (1st choice)
Methylphenidate
Treatment (2nd choice)
Clonidine
Complication
Treatment (1st choice)
Treatment (2nd choice)
Glaucoma
Beta blocker drops
Adrenergic drops
Partial epilepsy
Carbamazepine
Valproate, topiramate
Headache
Ibuprofen
Sumatriptan
Stroke-like episodes
Aspirin
None
Neurobehavior
Methylphenidate
Clonidine
Image
Source:
Tip: Wheel or +/− to zoom, drag to pan, Esc to close.