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Behavioral manifestations of sturge-weber syndrome: a case report.
MedLine Citation:
PMID:  16964314     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Sturge-Weber syndrome is a neurocutaneous syndrome that manifests with vascular malformations involving the brain, eye, and skin. We report the case of an elderly patient suffering from Sturge-Weber syndrome who presented with episodic "angry" slapping symptoms to a psychiatric facility. A detailed history, physical and mental-state examination, and elaborate neuropsychological, neuroimaging, and laboratory assessment were undertaken. Clinically, the "angry" slapping episodes were diagnosed as complex partial seizures that improved in frequency with an increase in the dose of the antiepileptic medication. We also have attempted to identify the pathophysiology of such behavioral episodes in Sturge-Weber syndrome. This case report underlines the need for detailed laboratory and neuroimaging work-up in the elderly presenting with atypical symptoms. It also emphasizes the need for identification of and differentiation between similar atypical presentations and appropriate management of resources by the medical staff.
Authors:
Vishal Madaan; Vijay Dewan; Sriram Ramaswamy; Ashish Sharma
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Primary care companion to the Journal of clinical psychiatry     Volume:  8     ISSN:  1523-5998     ISO Abbreviation:  Prim Care Companion J Clin Psychiatry     Publication Date:  2006  
Date Detail:
Created Date:  2006-09-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100887410     Medline TA:  Prim Care Companion J Clin Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  198-200     Citation Subset:  -    
Affiliation:
Creighton-Nebraska Psychiatry Program ; the Department of Psychiatry, University of Nebraska Medical Center ; and the Department of Psychiatry, Creighton University Medical Center , Omaha, Neb.
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