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      An Infantile Case of Sturge-Weber Syndrome in Association with Klippel-Trenaunay-Weber Syndrome and Phakomatosis Pigmentovascularis

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          Abstract

          Sturge-Weber syndrome can be associated with facial port-wine stains and intracranial calcification, and concurrent Klippel-Trenaunay-Weber syndrome has been reported. Klippel-Trenaunay-Weber syndrome is a rare congenital mesodermal phakomatosis characterized by cutaneous hemangiomas, venous varicosities and soft tissue or bone hypertrophy of the affected extremities. This report is presented a rare case of the Sturge-Weber syndrome in combination with the Klippel-Trennaunay syndrome and phakomatosis pigmentovascularis in a 4-month-old infant. He showed nevus flameus on the right leg and both part of the face and back, leptomeningeal angiomatosis on right hemisphere, hypertrophy of the right leg, hemiconvulsion on the left and also evidences of congenital glaucoma and nevus of Ota. Very rare case combined with these three kinds of phakomatosis has been reported.

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          A case of partial epilepsy apparently due to a lesion of one of the vasomotor centres of the brain

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            Sturge-Weber syndrome with bilateral intracranial calcification.

            Four children affected by Sturge-Weber syndrome and demonstrating bilateral intracranial calcification are described, bringing up to 21 the number of similar reported cases. The frequency of bilateral hemisphere involvement in this syndrome is not known, but it might be as high as 15%. If present, neurosurgical intervention is, in our opinion, contraindicated.
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              Electroencephalographic evaluation in Sturge-Weber syndrome.

              The most consistent electroencephalographic finding in 16 cases of Sturge-Weber syndrome was a unilateral reduction of background amplitude in the waking record. Comparable asymmetries were noted in those patients in whom sleep recording also was done. Physiologic responses (to hyperventilation and photic driving) usually were decreased on the involved side. These hemispheric electroencephalographic abnormalities are detectable in infancy even before the characteristic intracranial calification develops. Epileptiform activity, when focal, was limited to the involved hemisphere.
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                Author and article information

                Journal
                J Korean Med Sci
                JKMS
                Journal of Korean Medical Science
                The Korean Academy of Medical Sciences
                1011-8934
                1598-6357
                December 2005
                31 December 2005
                : 20
                : 6
                : 1082-1084
                Affiliations
                Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea.
                Author notes
                Address for correspondence: Chang-Woo Lee, M.D. Department of Pediatrics, Wonkwang University College of Medicine, 344-2 Sinyoung-dong, Iksan 570-711, Korea. Tel: +82.63-850-1099, Fax: +82.63-853-3670, chan33@ 123456wonkwang.ac.kr
                Article
                10.3346/jkms.2005.20.6.1082
                2779316
                16361829
                2e28d16e-42ec-4a9a-a1fa-e635355948cc
                Copyright © 2005 The Korean Academy of Medical Sciences

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 September 2004
                : 03 November 2004
                Categories
                Case Report

                Medicine
                neurocutaneous syndromes,klippel-trenaunay-weber syndrome,sturge-weber syndrome,phakomatosis pigmentovascularis

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