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Sturge--Weber syndrome: report of an unusual cutaneous distribution.

C Inan1, J Marcus

  • 1State University of New York at Brooklyn, Division of Pediatric Neurology, Brooklyn 11203, USA. ciakman@aol.com

Brain & Development
|March 19, 1999
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Summary

Sturge-Weber syndrome, a rare neurological disorder, can present with unusual skin findings like facial and limb angiomas. This case highlights extensive cutaneous and intracranial vascular malformations in an infant.

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Area of Science:

  • Neurology
  • Dermatology
  • Pediatrics

Background:

  • Sturge-Weber syndrome is a congenital disorder characterized by a facial birthmark (port-wine stain) and neurological abnormalities.
  • It results from a genetic mutation leading to abnormal blood vessel development.
  • Diagnosis typically involves clinical evaluation and neuroimaging.

Observation:

  • An 11-month-old girl presented with a seizure disorder.
  • Physical examination revealed facial, palmar, and plantar angiomas.
  • Asymmetric development was noted, with the right face and arm being smaller, accompanied by hypotonia and weakness.

Findings:

  • Cranial CT scan showed left fronto-parietal intracranial calcification.
  • Brain MRI with gadolinium revealed a large leptomeningeal angioma affecting the entire left hemisphere.
  • The patient was diagnosed with Sturge-Weber syndrome.

Implications:

  • This case underscores the diverse and sometimes atypical cutaneous manifestations of Sturge-Weber syndrome.
  • Early diagnosis and comprehensive management are crucial for patients with this condition.
  • Further research into the genetic and clinical spectrum of Sturge-Weber syndrome is warranted.