Document Detail

Atypical imaging evolution of sturge-weber syndrome without facial nevus.
MedLine Citation:
PMID:  23337009     Owner:  NLM     Status:  MEDLINE    
We report a patient with Sturge-Weber syndrome without facial angioma, who presented with seizures and normal initial imaging results. The patient experienced several years without seizures before a sudden increase in seizure frequency, followed by an atypical evolution of imaging findings prompting biopsy to establish the diagnosis. This case highlights not only the rare presentation of isolated leptomeningeal angiomatosis, but also the potential for atypical evolution of imaging findings through the course of the disease. We detail the imaging findings of our case and review the potential pathophysiological basis for this appearance. Our experience suggests that repeat imaging is warranted in patients with suspected Sturge-Weber syndrome or those with intractable cryptogenic epilepsy, because some imaging features of Sturge-Weber syndrome may manifest over time.
Rebecca R Luke; Saleem I Malik; Angel W Hernandez; David J Donahue; M Scott Perry
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric neurology     Volume:  48     ISSN:  1873-5150     ISO Abbreviation:  Pediatr. Neurol.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-22     Completed Date:  2013-07-02     Revised Date:  2013-08-27    
Medline Journal Info:
Nlm Unique ID:  8508183     Medline TA:  Pediatr Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  143-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Elsevier Inc. All rights reserved.
University of North Texas Health Science Center, Fort Worth, Texas, USA.
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MeSH Terms
Brain / pathology*
Seizures / etiology,  pathology*
Sturge-Weber Syndrome / complications,  pathology*
Comment In:
Pediatr Neurol. 2013 Jul;49(1):e1-2   [PMID:  23827434 ]
Pediatr Neurol. 2013 Jul;49(1):e1   [PMID:  23827433 ]

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