Sturge-weber syndrome: a case report with complex presentations

Authors

  • Evangeline Gladwin Department of Pharmacy Practice, Parul Institute of Pharmacy, Parul University, Vadodara, Gujarat, India
  • Arun Mishra Department of Pharmacy Practice, Maliba College of Pharmacy, Maliba Campus, Uka Tarsadia University, Surat, Gujarat, India
  • Neha Suratiya Department of Pharmacy Practice, Parul Institute of Pharmacy, Parul University, Vadodara, Gujarat, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20251489

Keywords:

Neurocutaneous syndromes, Seizures, Hepatitis, Case report, Sickle cell, Port wine stain

Abstract

Sturge-Weber syndrome (SWS), a rare, congenital phakomatosis is the fourth among the neurocutaneous syndromes and is characterized by facial nevus flammeus, leptomeningeal angioma and glaucoma. It is also manifested as cutaneous, neurological, ophthalmic and behavioral symptoms. It is diagnosed primarily via cerebral abnormalities noted in MRI and CT scans. This case report discusses the complexity of Sturge-weber syndrome with conditions such as Hepatitis A and sickle cell anemia. We report a case of a 11-year-old male patient presented with Convulsions and birthmark over left-side of the face. SWS was confirmed by left cerebral atrophy while HPLC and Hepatitis A virus IgM antibody suggested sickle cell trait and Hepatitis A respectively. Symptomatic treatment was given and the patient was counseled to adhere to the anti-epileptics. Additionally, dye-laser photocoagulation was suggested as an intervention to remove port-wine facial birthmark. SWS is a rare phakomatosis and diagnosis can be done via characteristic symptoms and Imaging techniques. As it is incurable, emphasis is placed on proper prognosis and symptomatic treatment, with a focus on managing co-morbidities.

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References

Font RL, Ferry AP. The phakomatoses. Int Ophthalmol Clin. 1972 Spring;12(1):1-50. DOI: https://doi.org/10.1097/00004397-197201210-00003

Neerupakam M, Reddy PS, Babu BA, Krishna GV. Sturge weber syndrome: A case study. JCDR. 2017;11(5):12. DOI: https://doi.org/10.7860/JCDR/2017/25593.9891

Thomas-Sohl KA, Vaslow DF, Maria BL. Sturge-Weber syndrome: a review. Pediatric Neurol. 2004;30(5):303-10. DOI: https://doi.org/10.1016/j.pediatrneurol.2003.12.015

Aylett SE, Neville BG, Cross JH. Sturge-Weber syndrome: cerebral haemodynamics during seizure activity. Dev Med Child Neurol. 1999;41:480-5. DOI: https://doi.org/10.1017/S0012162299001036

Comi AM. Pathophysiology of Sturge-Weber syndrome. J Child Neurol. 2003;18(8):509-16. DOI: https://doi.org/10.1177/08830738030180080701

Maria BL, Hoang K, Robertson RL, Barnes PD, Drane WE, Chugani HT. Imaging brain structure and function in Sturge-Weber syndrome. Sturge-Weber syndrome. Mount Freedom, NJ: The Sturge-Weber Foundation. 1999:43-69.

Saravanan S, Roy A. Sturge-Weber Syndrome Rare Cases with Rare Presentation. Int J Sci Stud. 2021;9(1):82-5.

Sharma S, Jain P. The modified Atkins diet in refractory epilepsy. Epilepsy Res Treat. 2014;4(1):404202. DOI: https://doi.org/10.1155/2014/404202

Ngwu CU, Arji GN, Ogbuabor AO. Knowledge and determinants of Hepatitis B virus testing and vaccination status among sickle cell disease patients. Int J Path Res. 2022;11(2):1-6. DOI: https://doi.org/10.9734/ijpr/2022/v11i2206

Obeid OE, Alzahrani AJ. Analysis of hepatitis C virus infection among sickle cell anemia patients by an antigen-antibody combination assay. Microbiol Res. 2011;2(2):26. DOI: https://doi.org/10.4081/mr.2011.e26

Abdolrahimzadeh S, Plateroti A, Recupero S, Lambiase A. An update on the ophthalmologic features in the phakomatoses. J Ophthalmol. 2016;2016:1-15. DOI: https://doi.org/10.1155/2016/3043026

Abdolrahimzadeh S, Fameli V, Mollo R, Contestabile MT, Perdicchi A, Recupero SM. Rare diseases leading to childhood glaucoma: epidemiology, pathophysiogenesis, and management. BioMed Res Int. 2015;5(1):781294. DOI: https://doi.org/10.1155/2015/781294

Zallmann M, Leventer RJ, Mackay MT, Ditchfield M, Bekhor PS, Su JC. Screening for Sturge‐Weber syndrome: A state‐of‐the‐art review. Pediatric dermatology. 2018;35(1):30-42. DOI: https://doi.org/10.1111/pde.13304

Thavikulwat AT, Edward DP, AlDarrab A, Vajaranant TS. Pathophysiology and management of glaucoma associated with phakomatoses. J Neurosci Res. 2019;97(1):57-69. DOI: https://doi.org/10.1002/jnr.24241

Lopez J, Yeom K, Comi A, Haren K. Case report of subdural hematoma in a patient with sturge–weber syndrome and literature review. J Child Neurol. 2012;28(5):672-5. DOI: https://doi.org/10.1177/0883073812449514

Karim AB, Islam MM, Hossain MA, Alam AM. Management of Patient with Sturge-Weber Syndrome: a Case Report. Faridpur Medical College J. 2014;9(2):102-4. DOI: https://doi.org/10.3329/fmcj.v9i2.25686

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Published

2025-05-26

How to Cite

Gladwin, E., Mishra, A., & Suratiya, N. (2025). Sturge-weber syndrome: a case report with complex presentations. International Journal of Contemporary Pediatrics, 12(6), 1021–1024. https://doi.org/10.18203/2349-3291.ijcp20251489

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Section

Case Reports