Presentation
Seizures may also occur. 26 Children and adults may present with headaches or subarachnoid hemorrhage. Patients presenting in the neonatal period typically have a worse prognosis than those presenting later. [jaocr.org]
[…] or they present with only one area of involvment. [physio-pedia.com]
Dermoid (contd.) CT: appear as well defined low attenuating (fat density) lobulated masses. Calcifications may be present in the wall. Enhancement is uncommon, and if present should at most be a thin peripheral rim. Very rarely they demonstrate [slideshare.net]
She presented with an intrauterine death at 36 weeks. Postmortem was declined. [jcongenitalcardiology.biomedcentral.com]
Presentation [ 5 ] Not all infants with facial naevi have SWS. Incidence of SWS has been reported to be 8-33% in those with a port-wine stain. [patient.info]
Entire Body System
- Epilepsy
About 70% of patients with epilepsy have their first seizure within the first year of life. [synapse.koreamed.org]
Benign epilepsy of childhood with occipital paroxysms (BECOP). Benign Myoclonic Epilepsy in Infancy (BMEI) Benign Neonatal Convulsions (BNC) Benign nonprogressive familial chorea Benign Rolandic Epilepsy (BRE). [neurometplus.com]
[…] hemisensory loss, hemiparesis, homonymous hemianopsia, glaucoma (20%) DDx: SAH, DVA, Rasmussen's encephalitis, gliomatosis, PML Tx: Conservative: seizures (carbamezapime 1st line), stroke prevention (ASA) Surgery: Hemispherectomy Indications: Intractable epilepsy [learnneurosurgery.com]
microcephaly - skeletal dysplasia Epilepsy - telangiectasia Epilepsy, pyridoxin-dependent 0,15 Epiphyseal dysplasia multiple 5 Episodic ataxia, type 3 Episodic ataxia, type 4 Erdheim-Chester disease Erythermalgia, primary Erythroderma lethal, congenital [docplayer.net]
"A case of partial epilepsy, apparently due to a lesion of one of the vasomotor centres of the brain". Transactions of the Clinical Society of London. 12 : 162. ^ Weber FP (1922). [en.wikipedia.org]
- Pallor
Learn more about how to achieve it with Mendelian Learn more Other signs and symptoms that you may find interesting Myopia and Optic disc pallor, related diseases and genetic alterations Myopia and Abnormality of the skeletal system, related diseases [mendelian.co]
Clinical symptoms include irritability, weak or high-pitched cry, vomiting, and pallor. On examination, the infant often is hypotonic with a tense fontanelle and may show an asymmetry of motor function. Seizures are frequent. [glowm.com]
There is damage to the oligodendrocytes by cytokines and myelin pallor. Late neuronal loss occurs. Gliosis and brain atrophy are early features of adult infections, while impaired brain growth is characteristic of congenital infections. [mrineonatalbrain.com]
Skin
- Angiomatosis
Synonym(s): cephalotrigeminal angiomatosis ; encephalotrigeminal angiomatosis ; Sturge-Kalischer-Weber syndrome ; Sturge-Weber disease [medical-dictionary.thefreedictionary.com]
Sturge-Weber syndrome is a sporadic condition of mesodermal phakomatosis characterized by a portwine vascular nevus on the upper part of the face, leptomeningeal angiomatosis that involves one or both hemispheres, choroidal vascular lesions associated [synapse.koreamed.org]
STURGE-WEBER SYNDROME Is also known as encephalofacial angiomatosis; encephalotrigeminal angiomatosis; sws; sturge-weber-dimitri syndrome; sturge-weber-krabbe angiomatosis; sturge-weber-krabbe syndrome Related symptoms: Intellectual disability Seizures [mendelian.co]
Sturge–Weber syndrome or Sturge–Weber–Krabbe disease, sometimes referred to as encephalotrigeminal angiomatosis, is a rare congenital neurological and skin disorder. [en.wikipedia.org]
Leptomeningeal Angiomatosis with infantile spasms. Ped Neuro 2004; 31(5): 353-6. http://www.sciencedirect.com/science/article/pii/S0887899404002887 (accessed 29 Mar 2012). ↑ Medlink neurology: clinical summary. [physio-pedia.com]
Neurologic
- Seizure
seizures and for localisation of seizure activity in refractory seizures when epilepsy surgery is considered. [patient.info]
Diseases related with Seizures and Cerebral calcification In the following list you will find some of the most common rare diseases related to Seizures and Cerebral calcification that can help you solving undiagnosed cases. [mendelian.co]
Retardation via text searches within MalaCards or GeneCards Suite gene sharing: Human phenotypes related to Choroid Plexus Calcification and Mental Retardation: 60 33 (show all 12) # Description HPO Frequency Orphanet Frequency HPO Source Accession 1 seizures [malacards.org]
The outcome after the first seizures is variable, but long term follow-up have shown that the seizure are often well controlled. [synapse.koreamed.org]
Hemiparesis most commonly occurs when an individual has a series of seizures or seizures of increased intensity. [physio-pedia.com]
- Meningism
[…] pseudomeningocele Adhesions - cerebral meninges Adhesions - spinal meninges Cyst of spinal meninges Cyst, spinal arachnoid Disorder of meninges Extradural spinal arachnoid cyst Intradural spinal arachnoid cyst Meningeal adhesions Meningeal cyst Meningocele [icd9data.com]
[…] syndrome G95.89 Other specified diseases of spinal cord G95.9 Disease of spinal cord, unspecified G96 Other disorders of central nervous system G96.0 Cerebrospinal fluid leak G96.1 Disorders of meninges, not elsewhere classified G96.12 Meningeal adhesions [icd10data.com]
Engorgement of surface vessels occurs and leaky blood–meningeal barrier from perivascular inflammation leads to meningeal and cisternal enhancement. [mrineonatalbrain.com]
Sturge syndrome Sturge-Weber syndrome - a triad of (1) congenital flame nevus in the distribution of the trigeminal nerve, usually unilateral; - (2) homolateral meningeal angioma with intracranial calcification and neurologic signs; and - (3) angioma [medical-dictionary.thefreedictionary.com]
[…] sub-arachnoid spaces intra- ventricular debris and strands may be present increased vascularity or hyperemia of meninges and sulci may be present References: sonography of meningitis in neonates intraventricular-debris-ventriculitis This neonate was [ultrasound-images.com]
- Cerebral Calcification
Frequency HPO Source Accession 1 seizures 60 33 Very frequent (99-80%) HP:0001250 2 intellectual disability, severe 60 33 Very frequent (99-80%) HP:0010864 3 strabismus 60 33 Very frequent (99-80%) HP:0000486 4 hyperreflexia 60 Very frequent (99-80%) 5 cerebral [malacards.org]
Diseases related with Intellectual disability and Cerebral calcification In the following list you will find some of the most common rare diseases related to Intellectual disability and Cerebral calcification that can help you solving undiagnosed cases [mendelian.co]
Adachi M, Wellman KF, Volk BW (1968) Histochemical studies on the pathogenesis of idiopathic non-arteriosclerotic cerebral calcification. J Neuropathol Exp Neurol 27:483–499 Google Scholar 27. [link.springer.com]
- Neurologic Manifestation
Neurological manifestations of NF1 are numerous. Most common among these is glioma of the optic pathway, which may be isolated to a single optic nerve, the optic chiasm or the entire optic pathway (Figure 1). [appliedradiology.com]
Severe neurologic dysfunction becomes clinically apparent in infancy, and manifests as progressive microcephaly, spasticity, dystonic posturing, profound psychomotor retardation, and often death in early childhood. [mendelian.co]
Workup
Pediatric Sturge-Weber Syndrome: Work-up. http://emedicine.medscape.com/article/1177523-workup (accessed 12 March 2012). ↑ Akpinar, E. The Tram-Track Sign: Cortical Calcification. [physio-pedia.com]
Other Pathologies
- Gliosis
This may occur in completely asymptomatic patients, but can also reflect acute edema from thrombosis, or gliosis from chronic outflow obstruction. [jaocr.org]
Los primeros son estudios de 1984, basados en suposiciones Tanto portador y poca enfermedad se explicaria por baja penetrancia de las mutaciones en ATP7B Subdiagnosticado Necrosis, gliosis y cambios quisticos. [es.slideshare.net]
Variable deep and periventricular white matter gliosis/atrophy, ex-vacuo effect, apposition of sulci to ventricular surface. [radnotes.co.nz]
Arrhythmia Edema Folate deficiency Intellectual disability, moderate Hyperphenylalaninemia Excessive salivation Episodic fever Ketonuria Progressive neurologic deterioration Irritability Myoclonus Aggressive behavior Nephrocalcinosis Abnormal myelination Gliosis [mendelian.co]
Treatment
The medical treatments available for the various aspects of SWS are addressed below. Treatment of Port Wine Stain Laser treatment is used to reduce port wine stains in children with SWS. [physio-pedia.com]
There is a greater likelihood of intellectual impairment when seizures are resistant to treatment. [en.wikipedia.org]
Surgical treatments Pulsed dye laser (PDL) treatment is used for port-wine stain: [ 10 ] This laser treatment is particularly effective in improving facial port-wine stains in infants ≤6 months of age. [ 11 ] This is often recommended for lesions near [patient.info]
Treatment of glaucoma in children with Sturge-Weber syndrome. J Pediatr Ophthalmol Strabismus. 2000;37:29–34. 74. Caprioli J, Strang SL, Spaeth GL, Poryzees EH. Cyclocryotherapy in the treatment of advanced glaucoma. [dovepress.com]
TREATMENT AND OUTCOME IN VGAMS Ideally the initial treatment of VGAM is conservative. [jnnp.bmj.com]
Prognosis
The worst prognosis was thus seen, as expected, in the babies with the largest shunts, presenting as neonates with severe cardiac failure. [jnnp.bmj.com]
INI-1 loss, but no rhabdoid features and good prognosis. [librepathology.org]
As might be expected, studies have found that cortical volume analysis (representing cortical atrophy) on MRI correlates well with impairment and prognosis. [patient.info]
Conservative treatment is advocated in the stable neonate. 24 The prognosis of an infant with subdural hemorrhage depends on the degree of hemorrhage. [glowm.com]
Desmoplastic Infantile Ganglioglioma form of desmoplastic infantile tumours tend to have good prognosis vast majority occur in children less than 1 year of age M:F ratio of approximately 2:1 rapidly increasing head circumference is the most [slideshare.net]
Etiology
(Fig. 11) Conventional angiography may help elucidate the etiology and be utilized for embolization with coils or glue. [jaocr.org]
It shows the main etiologic cerebral infarcts are not always well explored. Indi aspects. [books.google.com]
Etiology, Diagnosis, and Presentation Hydrocephalus in the pediatric population is characterized by an initial increase in intraventricular pressure, resulting in pathologic dilation of the cerebral ventricles with an accumulation of cerebrospinal fluid [pedsinreview.aappublications.org]
Etiologies of developmental facial paralysis include Mobius syndrome, hypoplasia of the depressor anguli oris muscle, and hemifacial macrosomia. [glowm.com]
The etiologic agent may be known if the mother was exposed to an infectious agent or had a symptomatic infection. [mrineonatalbrain.com]
Epidemiology
This update contains new epidemiological data and modifications to existing data for which new information has been made available. [docplayer.net]
Studies do not support the widely held belief that seizure frequency early in life in patients who have SWS is a prognostic indicator. [4] Epidemiology [ edit ] It occurs in approximately 1 in 50,000 newborns. [4] Eponym [ edit ] It is named for William [en.wikipedia.org]
Epidemiology Incidence is 1/50,000 live births. Males and females are equally affected. There is no racial predilection. Presentation [ 5 ] Not all infants with facial naevi have SWS. [patient.info]
Rare diseases leading to childhood glaucoma: epidemiology, pathophysiogenesis and management. Biomed Res Int. 2015;2015:781294. 41. Izzotti A, Saccà SC, Bagnis A, Recupero SM. [dovepress.com]
Pathophysiology
[…] signification worked out study than one exclusively devoted to a of imaging and magnetic resonance imaging, which limited number of scientific papers. will perhaps allow us to detect ischemic edema in the After a brief clinical and pathophysiological [books.google.com]
Objectives After completing this article, readers should be able to: Understand basic pathophysiology related to hydrocephalus and available treatments. Recognize presenting signs and symptoms of hydrocephalus. [pedsinreview.aappublications.org]
Pathophysiology Neuroectodermal origin: The structure is similar to normal choroid plexus, and it is formed of epithelial cells. [ispn.guide]
Both the degree of myelination and the presence of excitatory amino acid binding sites also may play a role in the pathophysiology of tissue damage. 6 The primary lesions seen on autopsy in term newborns are in the cortex and basal ganglia (Fig. 1). [glowm.com]
Armed Forces Institute of Pathology, Washington, DC, 1977, pp 284-300 Frenkel JK: Pathophysiology of toxoplasmosis. Parasitol Today 4:273-278, 1988 Frenkel JK: Toxoplasmosis. In: Connor DH, Chandler FW (eds) Pathology of Infectious Diseases. [isradiology.org]
Prevention
[…] elevated petrous bone, large frontal sinus Sx: seizures, MR, hemisensory loss, hemiparesis, homonymous hemianopsia, glaucoma (20%) DDx: SAH, DVA, Rasmussen's encephalitis, gliomatosis, PML Tx: Conservative: seizures (carbamezapime 1st line), stroke prevention [learnneurosurgery.com]
It is rare that CIMT is used in the adult population living with SWS; CIMT is, instead, used during childhood to promote use of the involved extremities and prevent neglect. [physio-pedia.com]
Other syndromes such as Cornelia de Lange may have gastrointestinal problems associated with them which may require special diets or medicines to prevent more serious conditions from developing. [tsbvi.edu]
SPECIFIC ORGANISMS Group B streptococcus (GBS) GBS is a partially preventable, but unfortunately common etiologic agent of neonatal meningitis. [mrineonatalbrain.com]
In most cases this is not severe enough to prevent the use of clinically useful drugs in the acute setting, but may affect subsequent treatment choices. 13. [fayllar.org]