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2.1
Weber Syndrome
Weber-Gubler Syndrome

Presentation

[…] is present unilaterally. [eyewiki.org]

[…] or they present with only one area of involvment. [physio-pedia.com]

The ocular angioma, also present in the syndrome, appears in 30% of the cases, affects the choroids and the ocular sclerotic, and is ispilateral to the cutaneous angioma (14). [arquivosdeorl.org.br]

Sign In A 77-year-old woman presented with fingertip ulcers and arteriovenous malformation of the left arm that had been present since childhood. [nejm.org]

Entire Body System

  • Surgical Procedure

    The Sturge's disease requires major cares in the performance of invasive procedures, which improves the surgical planning and the therapeutic proposal to be instituted, and prevents the significant intercurrences arising out of hemorrhages that elevate [arquivosdeorl.org.br]

    This surgical procedure can be associated with significant adverse effects including weakness on one side of the body possibly affecting walking (hemiparetic gait), little use of the affected hand, or hemianopsia. [rarediseases.org]

    Several different surgical procedures may be used to correct glaucoma in children with Sturge Weber Syndrome. These include goniotomy, trabeculotomy, trabeculectomy, tube-shunt, and cyclodestructive procedures. [physio-pedia.com]

  • Pain

    Arteriovenous malformations are often the most debilitating of the PWS triad, causing a wide variety of clinical features such as pain, fatigue, ulceration, and high-output congestive heart failure. [interventionalnews.com]

    Clinically we have retroorbitary pains and visual deterioration (5). [arquivosdeorl.org.br]

    In this case, it is important to treat the seizure the relieve the headache pain. [18] Treatment of Epilepsy In most cases, antiepileptic drugs are effective in treating seizures. [physio-pedia.com]

Skin

  • Skin Discoloration

    Usually, early intervention and multiple treatments are required to lighten the skin discoloration and enhance cosmetic outcomes. EXTERNAL FINDINGS. [aao.org]

    However, the patients rarely get a 100% clearance of their skin discoloration.[8][18] Central forehead stains have a better outcome than do central facial stains.[19][20][21][22][23] The patients with V2 involvement tend to have the worst outcome after [eyewiki.aao.org]

    However, the patients rarely get a 100% clearance of their skin discoloration. [8] [18] Central forehead stains have a better outcome than do central facial stains. [19] [20] [21] [22] [23] The patients with V2 involvement tend to have the worst outcome [eyewiki.org]

Musculoskeletal

  • Muscle Weakness

    Our depth of experience in Sturge-Weber syndrome Sturge-Weber syndrome can involve a range of complications, including seizures, developmental delays, muscle weakness and eye problems. [childrenshospital.org]

    These episodes often involve temporary muscle weakness on one side of the body (hemiparesis), vision abnormalities, seizures, and migraine headaches. In affected individuals, these episodes usually begin by age 2. [medlineplus.gov]

    Affected individuals may also experience muscle weakness or paralysis on one side of the body (hemiparesis), usually on the side opposite the port-wine birthmark. [rarediseases.org]

    Muscle Strengthening/Resistive exercise is utilized in the treatment of SWS to reduce the weakness caused by atrophy in the cortical areas of the brain. [physio-pedia.com]

  • Fracture

    We also consider the Maffuci's syndrome, which presents with vascular malformations in the skin and mucosae (lips and palate), dyschondroplasia, and may also lead to long bones pathological deformities or fractures and cause chondrosarcomas (6). [arquivosdeorl.org.br]

Neurologic

  • Seizure

    What do seizures in SWS look like? Seizures in SWS usually start as partial or focal seizures that can spread to a generalized seizure. [epilepsy.com]

    […] lesion responsible for epilepsy in SWS is focal, the majority of seizures are focal seizures. [emedicine.medscape.com]

    […] to prevent seizures SWS is usually not life threatening. [medlineplus.gov]

    The relationship between the age of onset of seizures and seizure control was established. [pubmed.ncbi.nlm.nih.gov]

    Seizures are treated with anti-seizure (anti-convulsant) medications. The effectiveness of these medications in treating people with SWS is highly variable. [rarediseases.org]

  • Headache

    In reports by Maria et al, headaches occurred in 60% of patients. [22, 46, 1] In a specific study of headaches in SWS reported by Klapper, 71 patients identified by the Sturge-Weber Foundation responded to a questionnaire about headaches. [48] Migraine [emedicine.medscape.com]

    Headaches or migraines may also occur. Type 3 is characterized by cerebral malformation (leptomeningeal angiomas) exclusively. Port-wine stain is not present and glaucoma is rare. [epilepsy.com]

    Onset of headaches varies based on the progression of the disease. [physio-pedia.com]

    Symptoms of SWS include: Port-wine stain (more common on the upper face and eye-lid than the rest of the body) Seizures Headache Paralysis or weakness on one side Learning disabilities Glaucoma (very high fluid pressure in the eye) Low thyroid ( hypothyroidism [medlineplus.gov]

    Throughout the life of the individual, interrelated symptoms may manifest in glaucoma, cerebral blood flow abnormalities, headaches, and various other complications. [sturge-weber.org]

  • Convulsions

    […] children and adults, we may also observe a complex partial convulsion (13,14). [arquivosdeorl.org.br]

    Convulsions, or seizures, often appear before the age of 12 months, and they may worsen with age. Infants who have seizures before the age of 2 years may also have learning difficulties. [medicalnewstoday.com]

    The convulsions usually appear on the opposite side of the body from the Port Wine Stain and vary in severity. Vigorous attempts are made to control the seizures with medication. [sturge-weber.org]

    Seizures are treated with anti-seizure (anti-convulsant) medications. The effectiveness of these medications in treating people with SWS is highly variable. [rarediseases.org]

    Convulsions generally present on the side of the body opposite the facial port wine stain. [physio-pedia.com]

  • Neurologic Manifestation

    Therefore, many psychological benefits have been reported after the laser treatment of PWS.[24] Neurologic Manifestations and Treatment The most common neurological manifestation in SWS is seizures, with partial seizures being the most common type. [eyewiki.aao.org]

    When both the V1 and V2 dermatomes were involved, the risk of both glaucoma (31.8%) and neurologic manifestations (54.5%) was much higher. [8] They also observed that, if all three dermatomes (V1, V2, V3) were involved, the risk of neurologic manifestations [eyewiki.org]

    Clinical Manifestations The SWS presents with neurological (brain anomaly), cutaneous, ocular and oral manifestations that may (or not) be associated with one another; however the most evident clinical manifestation is the presence of the nevus flameus [arquivosdeorl.org.br]

Workup

Clinical Testing and Workup Various imaging techniques can be used to identify and assess neurological complications including x-rays of the skull (skull radiography) or magnetic resonance imaging (MRI) with gadolinium. [rarediseases.org]

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]

Treatment

Interventional radiology plays a crucial role in the treatment of these patients. [interventionalnews.com]

[Treatment of eye tumors by accelerated proton beams. 7 years experience]. Klin Monbl Augenheilkd 1992;200:431-5. ↑ Zografos L, Bercher L, Chamot L, et al. Cobalt-60 treatment of choroidal hemangiomas. [eyewiki.aao.org]

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]

With the recent discovery of the cause of SWS, we have begun to investigate new treatments. We urgently need your support to develop and test these treatments that have the potential to radically improve the lives of those living with SWS. [kennedykrieger.org]

Prognosis

Similar articles Sturge-Weber syndrome: age of onset of seizures and glaucoma and the prognosis for affected children. Sujansky E, Conradi S. Sujansky E, et al. J Child Neurol. 1995 Jan;10(1):49-58. doi: 10.1177/088307389501000113. [pubmed.ncbi.nlm.nih.gov]

Prognosis Patients with SWS have a lower life expectancy than does the general population.[26] When the leptomeningeal lesions are bilateral, patients usually have more severe neurological manifestations and a worse prognosis. [eyewiki.aao.org]

Patients with SWS have a lower life expectancy than does the general population. [26] When the leptomeningeal lesions are bilateral, patients usually have more severe neurological manifestations and a worse prognosis. [eyewiki.org]

Parents should talk to their child’s physician and medical team about their specific case, associated symptoms and overall prognosis. [rarediseases.org]

Etiology

Although its etiology is unknown, we believe the SWS's clinical manifestations derive from a common embryologic base. [arquivosdeorl.org.br]

The etiology is not well understood, but PWS has been associated with mutations in the RASA1 gene, which codes for various growth factor receptor signals involved in proliferation, migration, and survival of vascular endothelial cells. [interventionalnews.com]

The etiology of glaucoma in this syndrome remains unclear, and anomalous angle development and/or elevated episceral venous pressure may be the underlying mechanisms, as has been postulated for SWS. [aao.org]

Computational analysis for GNAQ mutations: New insights on the molecular etiology of Sturge-Weber syndrome. [scielo.senescyt.gob.ec]

This may explain the hypoperfusion associated with the disorder. [9] Etiology/Causes Though it is not believed to be hereditary in nature, this is a congenital disease which develops in utero and manifests at birth. [physio-pedia.com]

Epidemiology

Epidemiology and natural history of intracranial vascular malformations. In: Winn HR, ed. Youmans and Winn Neurological Surgery. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 401. Maguiness SM, Garzon MC. Vascular malformations. [medlineplus.gov]

Download citation Received: 07 June 2022 Accepted: 10 November 2022 Published: 19 November 2022 DOI: https://doi.org/10.1186/s12889-022-14592-w Keywords Social vulnerability Health inequality Mediation effect COVID-19 Vaccination Case fatality rate Epidemiology [bmcpublichealth.biomedcentral.com]

Pathophysiology

Pathophysiology, diagnosis, and management of glaucoma associated with Sturge-Weber syndrome. International Ophthalmology, 38(1), 409-416. [ Links ] Lambiase A, Mantelli F, Mannino G, Recupero SM. (2015). [scielo.senescyt.gob.ec]

Presentation, diagnosis, pathophysiology, and treatment of the neurological features of Sturge-Weber syndrome. Neurologist 2011;17:179-84. ↑ Schirmer. [eyewiki.aao.org]

Presentation, diagnosis, pathophysiology, and treatment of the neurological features of Sturge-Weber syndrome. Neurologist. 2011;17:179-184. http://www.ncbi.nlm.nih.gov/pubmed/21712663 Kossoff EH, Borsage JL, Comi AM. [rarediseases.org]

Prevention

And antiplatelet or anticoagulant agent is started for secondary prevention. Proton pump inhibitors can be used if patient developed dyspepsia to Asprin.. [medicaljoyworks.com]

The person's quality of life depends on how well their symptoms (such as seizures) can be prevented or treated. The person will need to visit an eye doctor (ophthalmologist) at least once a year to treat glaucoma. [medlineplus.gov]

The stain may come back again, but doctors are now using a topical application known as sirolimus that helps to prevent the capillaries from growing back. Anticonvulsants can help prevent seizures. [medicalnewstoday.com]

Furthermore, when implementing a novel preventive measure such as vaccines, it is important to ensure equitable access to different social groups, thus preventing further amplification in health inequality. [bmcpublichealth.biomedcentral.com]

Please support research for better treatments for SWS and to prevent medical and developmental problems from it." Learn more about creating a fundrasing page for the Hunter Nelson Sturge-Weber Center. [kennedykrieger.org]

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2.1
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