无面部血管瘤的Sturge-Weber综合征一例

目的 分析无面部血管瘤的Sturge-Weber综合征(SWS)的临床特点.方法 2008年10月收治1例女性患儿,8岁,因发作性四肢强直入院,患儿无面部血管瘤及眼部异常,仅表现为癫痫.患儿接受丙戊酸钠抗癫痫治疗.结果 患儿经头部CT、MRI确诊为无面部血管瘤的SWS.抗癫痫治疗后随访12个月,未再发癫痫,智力发育无减...

One Case of Sturge-Weber Syndrome without Facial Hemangioma

Objective To analyze the clinical features of Sturge-Weber syndrome without facial hemangioma.Methods One eight-year-old girl was admitted to the hospital for tonic seizure in October 2008.The physical examination results were normal with neither facial hemangioma nor ocular abnormalities.The only manifestation of the patient was epilepsy.The patient was treated with sodium valproate.Results According to cranial CT and MRI results,the patient was considered to have Sturge-Weber syndrome without facial hemangioma.The patient was treated with anticonvulsant drugs and experienced no recurrence of the seizures or any manifestations of mental retardation,hemiplegia,subarachnoid hemorrhage,cerebral hemorrhage,stroke-like episodes or migraine during the following 12 months of follow-up.Conclusion In the absence of facial hemangioma,the diagnosis can be based on cranial CT and MRI.Sturge-Weber syndrome patients without facial hemangioma are helped by anticonvulsant drugs.According to this case and the reports of literature,most patients without facial hemangioma only manifest epilepsy which can be treated effectively with antiepileptic drugs and such patients have a good prognosis without operation,which is different from those with facial hemangioma.