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Definition:
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Sturge-Weber syndrome is a rare disorder that is present at birth. A child with this condition will have a port-wine stain birthmark (usually on the face) and nervous system problems.
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Alternative Names:
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Encephalotrigeminal angiomatosis
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Causes, incidence, and risk factors:
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The cause of Sturge-Weber is unknown. It is not thought to be passed down (inherited) through families.
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Symptoms:
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- Port-wine stain (more common on the face than the body)
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Seizures
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Paralysis or weakness on one side
- Learning disabilities
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Signs and tests:
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Glaucoma may be one sign of the condition.
Tests may include:
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Treatment:
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Treatment is based on the patient's signs and symptoms, and may include:
- Anticonvulsant medicines for seizures
- Eye drops or surgery to treat glaucoma
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Laser therapy for port-wine stains
- Physical therapy for paralysis or weakness
- Possible brain surgery to prevent seizures
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Expectations (prognosis):
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Most cases of Sturge-Weber are not life-threatening. The patient's quality of life depends on how well the symptoms (such as seizures) can be prevented or treated.
Patients will need to visit an ophthalmologist at least once a year to treat glaucoma. They also will need to see a neurologist to treat seizures and other nervous system symptoms.
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Complications:
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- Abnormal blood vessel growth in the skull
- Continued growth of the port-wine stain
- Developmental delays
- Emotional and behavioral problems
- Glaucoma, which may lead to blindness
- Paralysis
- Seizures
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Calling your health care provider:
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The health care provider should check all birthmarks, including a port-wine stain. Seizures, vision problems, paralysis, and changes in alertness or mental state may mean the coverings of the brain are involved. These symptoms should be evaluated right away.
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Prevention:
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There is no known prevention.
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References:
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Haslam RHA. Neurocutaneous syndromes. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 596.
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