Monday, August 25, 2008

Sturge Weber Syndrome

Charactersitic features:-
  • Port wine stain in trigeminal distribution area.(upperface, eyelids)
  • Periventricular calcification
  • Hemiparesis contralateral to facial lesion side
  • Mental retardation
  • Seizures( may develop in first year)
  • Developmmental delays
  • Glaucoma (Later on)

Dx:-

Skulll Radipgraphs
Ct Head

Rx:-

Portwine stain:
it doesnt resolve on its own , so either need
cosmetic coverage or
Flashlamp pulsed laser therapy.
Seizures: Need apt medication; uncontrolled seizures may be cured by hemispherectomy and hemilobectomy and may play a role in preserving mental functions .
Treatment is conservative in absence of mental retardation.

Important:- Uncontrolled seizures appearing in infancy may be associated with hemiparesis.

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