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      Sturge Weber Syndrome: An Unusual Case with Multisystem Manifestations

      case-report

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          Abstract

          Background

          Sturge-Weber syndrome (SWS) is a rare congenital neurocutaneous disorder. It is characterized by the presence of facial port wine stains, neurological abnormalities like seizures and mental retardation, ocular disorders, oral involvement and leptomeningeal angiomas.

          Case Report

          A 13-year-old boy presented with the chief complaint of swollen, bleeding gums and deposits on the teeth. Detailed medical and dental history, clinical examination and investigations confirmed the diagnosis of Sturge-Weber syndrome. The treatment comprised of a thorough plaque control regimen to reduce the gingival enlargement, and it included oral hygiene instructions, thorough scaling, root planing at regular intervals and plaque index scoring which motivated the patient at each visit.

          Conclusion

          This case illustrates that early intervention in a patient with Sturge-Weber syndrome is quintessential because of its associated gingival vascular features and their complicating manifestations. Furthermore, the need for periodic oral examinations and maintenance of good oral hygiene to prevent any complications from the oral vascular lesions has been highlighted.

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          Most cited references18

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          Hemangiomas and vascular malformations of infancy and childhood.

          The vast majority of vascular anomalies of infancy and childhood can be biologically classified as hemangioma or vascular malformation. Hemangiomas are benign neoplasms that proliferate rapidly in infancy only to involute in early childhood. The majority of hemangiomas do not need treatment. Pharmacologic therapy, with corticosteroids or interferon-alpha-2a, is indicated for lesions that threaten vital function or are grossly deforming. Vascular malformations are not tumors, but rather vessel abnormalities due to errors of vascular morphogenesis. They derive from embryonal capillary, venous, arterial, or lymphatic channels, or combinations thereof. The appearance, clinical behavior, and therapy differ based on their channel types. All too often, unfortunately, children with vascular anomalies are shuffled from physician-to-physician because a single practitioner, even a specialist, does not have sufficient knowledge to properly treat the vascular lesion. The authors recommend that every major referral center have a multidisciplinary "Vascular Anomalies Team." We also endorse a biologic classification of vascular lesions to facilitate interspecialty communication regarding diagnosis, natural history, and therapy.
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            Neurocutaneous syndromes.

            E E Roach (1992)
            Many of the neurocutaneous disorders are more common than once suspected, in part because patients with milder forms of the disorders are now more likely to be recognized. Improved diagnostic studies and increasingly specific medical and surgical therapy allow some previously untreatable complications to be successfully managed. Genetic linkage analysis has localized the abnormal gene for some of the hereditary neurocutaneous disorders onto specific chromosomes, and newly developed clinical diagnostic criteria have improved our ability to establish a definite diagnosis in less obvious patients. Thus, the outlook for these patients is no longer uniformly pessimistic.
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              Facial port-wine stains and Sturge-Weber syndrome.

              A retrospective study was made of 106 cases of facial port-wine stains. It was concluded that only patients with lesions located in the ophthalmic (or V1 trigeminal) cutaneous area are at risk for associated neuro-ocular symptoms. It is proposed that Sturge-Weber syndrome results from a dysmorphogenesis of cephalic neuroectoderm.
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                Author and article information

                Journal
                Ethiop J Health Sci
                Ethiop J Health Sci
                Ethiopian Journal of Health Sciences
                Research and Publications Office of Jimma University (Jimma, Ethiopia )
                1029-1857
                March 2016
                : 26
                : 2
                : 187-192
                Affiliations
                [1 ]Department of Pedodontics & Preventive Dentistry, Maulana Azad Institute of Dental Sciences, Delhi, India
                [2 ]Department of Dental Surgery, Safdarjang Hospital, Delhi, India
                Author notes
                Corresponding Author: Chhabra Nidhi, nidhimahajandr84@ 123456gmail.com
                Article
                jEJHS.v26.i2.pg187
                4864348
                27222632
                e0883795-a744-42a2-8bc9-faf78d4863e3
                Copyright © Jimma University, Research & Publications Office 2016
                History
                Categories
                Case Report

                Medicine
                gingival overgrowth,hemangioma,plaque control regimen,port wine stains,sturge-weber syndrome

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