Abstract
Sturge-Weber syndrome (SWS) (OMIM # 185300), also known as encephalofacial or encephalotrigeminal angiomatosis or meningofacial angiomatosis, is a (usually) sporadic congenital neurocutaneous disorder affecting the cephalic venous microvasculature. The hallmark anomaly is a capillary malformation affecting: (a) the brain and meninges with or without involvement of (b) the choroid and/or episclera or conjunctive and (c) the skin (the latter typically in the cranial nerve V1-V3 territory including the mouth, pharynx and nasal mucosa or elsewhere in the body) (Baselga 2004, Gorlin et al. 2001, Thomas-Sohl et al. 2004, Di Rocco and Tamburrini 2006). Many incomplete forms, lacking one or more features of this triad exist (Baselga 2004). Other clinical features associated with SWS are seizures, glaucoma, headache, transient stroke-like neurological deficits, and behavioural problems. Hemiparesis, hemiatrophy, and hemianopia may occur contralaterally to the cortical abnormality (Thomas-Sohl et al. 2004).
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References
Adamsbaum C, Pinton F, Rolland Y, Chiron C, Dulac O, Kalifa G (1996) Accelerated myelination in early Sturge-Weber syndrome: RMI-SPECT correlations. Pediatr Radiol 26: 759–762.
Alonso A, Taboada D, Ceres L, Beltran J, Olave R, Nogués A (1979) Intracranial calcification in a neonate with the Sturge-Weber sídrome and additional problems. Pediatr Raiol 8: 39–41.
Arzimanoglou AA, Andermann F, Aicardi J, Sainte-Rose C, Beaulieu MA, Villemure JC et al. (2000) Sturge-Weber syndrome. Indications and results of surgery in 20 patients. Neurology 55: 1472–1479.
Barsky SH, Rosen S, Geer D, Noe JM (1980) The nature and evolution of port-wine staind. J Invest Dermatol 74: 154–157.
Baselga E (2004) Sturge-Weber syndrome. Semin Cut Med Surg 23: 87–98.
Bebin EM, Gomez MR (1988) Prognosis in Sturge-Weber disease: comparison of unihemispheric and bihemispheric involvement. J Child Neurol 3: 181–184.
Benedikt RA, Brown DC, Walker R, Ghaed UN, Mitchell M, Geyer CA (1993) Sturge-Weber syndrome: cranial MR imaging with Gd-DTPA. Am J Neuroradiol 14: 409–415.
Bentson JR, Wilson GH, Newton TH (1971) Cerebral venous drainage pattern of the Sturge-Weber syndrome. Radiology 101: 111–118.
Bodensteiner JB, Roach ES (1999) Sturge-Weber syndrome. Mt. Freedom: The Sturge Weber Foundation: 1–10.
Breugen CC, Alders M, Salieb-Beugelaar GB, Mannens MMAM, Van der Hosrts C, Hennekam RCM (2002) A locus for hereditary capillary malformations mapped on chromosome 5q. Hum Genet 110: 343–347.
Breuner RP, Sharbrough FW (1976) Electroencephalographic evaluation in Sturge-Weber syndrome. Neurology 26: 629–632.
Buttler G, Schulte FJ (1975) Zur operation behandbung des Sturge-Weber syndrome. Neuropediatrie 6: 135–141.
Cambon H, Truelle JL, Baron JC, Chiras J, Tran Dinh S, Chatel M (1987) Ischemic chronique focale et migraine acompagné: forme atypique d’une angiomatose de Sturge-Weber. Rev Neurol (París) 143: 588–594.
Campistol J, Garcìa-Cazorla A, Gonzalez-Campo C (1999) Sturge-Weber disease with unusual cerebral atrophy and hydrocephalus. Eur J Paediatr Neurol 3: 227–229.
Chabriat H, Pappata S, Traykov L, Kurtz A, Bousser MG (1996) Angiomatose de Sturge-Weber responsible d’une hémiplégie sans infarctus cerebral en fin de grossesse. Rev Neurol (Paris) 152: 536–541.
Chamberlain MC, Press GA, Hesselink JR (1989) MR imaging and CT in three cases of Sturge-Weber syndrome: Prospective comparison. Am J Neuroradiol 10: 491–496.
Chapieski L, Friedman A, Lachar D (2000) Psychological functioning in children and adolescents with Sturge-Weber syndrome. J Child Neurol 15: 660–665.
Chiron C, Raynaud C, Tzourio N, Diebler C, Dulac O, Zilbovicius M et al. (1989) Regional cerebral blood flow by SPECT imaging in Sturge-Weber disease: an aid for diagnosis. J Neurol Neurosurg Psychiatr 52: 1472–1479.
Chugani HT, Mazziotta J, Pelps M (1989) Sturge-Weber syndrome. A study of cerebral glucose utilization with positron emission tomography. J Pediatr 114: 244–253.
Cohen MM Jr (2000) Klippel-Tranaunay syndrome: A critical analysis. Am J Med Genet 93: 171–175.
Cohen MM Jr, Neri G, Weksberg R (2002) Klippel-Trenaunay syndrome, Parkes Weber syndrome, and Sturge-Weber syndrome. In: Cohen MM Jr, Neri G, Weksberg R (eds.) Overgrowth Syndromes. New York: Oxford University Press, pp. 111–124.
Comati A, Beck H, Halliday W, Snipes GJ, Plate KH, Acker T (2007) Upregulation of hypoxia-inducible factor (HIF)-lalpha and HIF-2alpha in leptomeningeal vascular malformations of Sturge-Weber Syndrome. J. Neuropathol Exp Neurol 66: 86–97.
Comi AM (2003) Pathophysiology of Sturge-Weber syndrome. J Child Neurol 18: 509–516.
Comi AM (2006) Advancs in Sturge-Weber syndrome. Curr Opin Neural 19: 124–128.
Cushing H (1906) Cases of spontaneous intracranial hemorrhage associated with trigenimal nevi. JAMA 47: 178–183.
Debicka A, Adamczak P (1979) Przypadek dziedziczenia zespolu Sturge’a-Webera. Klin Oczna 81: 541–542.
Dimitri V (1923) Tumor cerebral congénito (Angioma cavernoso). Rev Assoc Med Argent 36: 1029–1037.
Di Rocco C, Tamburrini G (2006) Sturge-Weber syndrome. Childs Nerv Syst 22: 909–921.
Di Trapani G, Di Rocco C, Abbmonti AL, Calderelli M (1982) Light microscopy and ultrastructural studies of Sturge-Weber disease. Childs Brain 9: 23–26.
Eerola I, Boon L, Watanabe S, Grynberg H, Mulliken JB, Vikkula M (2002) Locus for susceptibility for familial capillary malformation (“port-wine stain”) maps to 5q. Eur J Hum Genet 10: 375–380.
Eerola I, Boon L, Mulliken JB, Burrows PE, Dompmartin A, Watanabe S, Vanwijck R, Vikkula M (2003) Capillary malformation-arteriovenous malformation, a new clinical and genetic disorder caused by RASA1 mutations. Am J Hum Genet 73: 1240–1249.
Enjolras O, Riche MC, Merland JJ (1985) Facial port-wine stains and Sturge-Weber Syndrome. Pediatrics 76: 48–51.
Evans AL, Widjaja E, Connolly DJ, Griffiths PD (2006) Cerebral perfusion abnormalities in children with Sturge-Weber syndrome shown by dynamic contrast bolus magnetic resonance perfusion imaging. Pediatrics 117: 2119–2125.
Fukuyama Y, Tsuchiya S (1979) A study on Sturge-Weber syndrome. Eur Neurol 18: 194–202.
Garcìa JC, Roach ES, McLean WT (1981) Recurrent thrombotic deterioration in the Sturge-Weber syndrome. Childs Brain 8: 427–433.
Gobbi G, Bouquet F, Greco L, Lambertini A, Tassinari CA, Ventura A et al. (1992) Coeliac disease, epilepsy, and cerebral calcifications. Lancet 340: 439–443.
Gobbi G (2005) Coeliac disease, epilepsy and cerebral calcifications. Brain Dev 27: 189–200.
Gomez MR, Bebin EM (1987) Sturge-Weber syndrome. In: Gomez MR (ed.) Neurocutaneous Diseases. A Practical Approach. Boston: Butterworths: 356–367.
Gorlin RJ, Cohen MM Jr, Hennekam RAC (2001) Klippel-Trenaunay syndrome, Parkes Weber syndrome, and Sturge-Weber syndrome. In: Gorlin RJ, Cohen MM Jr, Hennekam RAC (eds.) Syndromes of the Head and Neck, 4th ed. pp. 453–460.
Griffiths PD (1996) Sturge-Weber syndrome revisited: the role of neuroradiology. Neuropediatrics 27: 284–294.
Griffiths PD, Boodram MB, Blaser S, Altomare F, Buncic JR, Levin AV et al. (1996) Abnormal ocular enhancement in Sturge-Weber syndrome: Correlation of ocular MR and CT findings with clinical and intracranial imaging findings. Am J Neuroradiol 17: 749–754.
Guseo A (1975) Ultrastructure of calcification in Sturge-Weber. Virchows Arch Pathol Anat 366: 352–356.
Happle R (1987) Lethal genes surviving by mosaicism: a possible explanation for sporadic birth defects involving the. skin. J Am Acad Dermatol 16: 899–906.
Hatfield LA, Crone NE, Kossoff EH, Ewen JB, Pyzik PL, Lin DD, Kelley TM, Comi AM (2007) Quantitative EEG asymmetry correlates with clinical severity in unilateral Sturge-Weber Syndrome. Epilepsia 48: 191–195.
Hebold O (1913) Hemangiomen der weicjen Hirnhaut bei Naevus vasculosus des Gesischts. Arch Psychaitr Nervenkr 51: 445–456.
Hoffmann HJ, Hendrick EB, Dennis M, Amstrong D (1979) Hemispherectomy for Sturge-Weber syndrome. Childs Brain 5: 233–248.
Huq AHMM, Chugani DC, Hukku B, Sarajee FJ (2002) Evidence of somatic mosaicism in Sturge-Weber syndrome. Neurology 59: 780–782.
Iwach A, Hoskins HD, Heterington J, Shaffer R (1990) Analysis of surgical and medical management of glaucoma in Sturge-Weber syndrome. Ophthalmology 97: 904–909.
Jacoby CG, Yuh WTC, Afifi AK, Bell WE, Schelper RL, Sato Y (1987) Accelerated myelination in early Sturge-Weber syndrome demonstrated by MR imaging. J Comp Assist Tomogr 11: 226–231.
Jenning Milles W (1884) Naevus of the right temporal and orbital region: naevus of the choroid and detachment of the retina in the right eye. Trans Ophthalmol Soc 4: 168–171.
Juhasz C, Batista CE, Chugani DC, Muzik O, Chugani HT (2007) Evaluation of cortical metabolic abnormalities and their clinical correlates in Sturge-Weber syndrome. Eur J Ped Neurol 11: 277–284.
Juhasz C, Lai C, Behen ME, Muzik O, Helder EJ, Chugani DC, Chugani HT (2008) White matter volume as a major predictor of cognitive function in Sturge-Weber syndrome. Arch Neurol 64: 1169–1174.
Kalischer S (1897) Demonstration des Gehirns eines Kindes mit Telangiectasie der linkseitigen Gesichts. Kopfhatu und Hirnoberfläche. Berl Klin Wochenschr 34: 1059.
Kalischer S (1901) Ein Fall von Teleangiectasie (Angiom) des Gesichts und der weichen Hirnhaut. Arch Psychiatr 34: 169–180.
Keith HM, Ewert JC, Green MW, Gage RP (1955) Mental status of children with convulsive disorders. Neurology 5: 419–425.
Kelley TM, Hatfield LA, Lin DD, Comi AM (2005) Quantitative analysis of cerebral cortical atrophy and correlation with clinical severity in unilateral Sturge-Weber syndrome. J Child Neurol 20: 867–870.
Kiley MA, Oxburg JM, Coley SC (2002) Intracranial hypertension in Sturge-Weber/Klippel-Trenaunay-Weber overlap syndrome due to impairment of cerebral nevous outflow. J Clin Neurosci 9: 330–338.
Kitahara T, Maki Y (1978) A case of Sturge-Weber disease with epilepsy and intracranial calcification in the neonatal period. Eur Neurol 17: 8–12.
Kossoff EH, Buck C, Freeman JM (2002) Outcomes of 32 hemispherectomies for Sturge-Weber syndrome worldwide. Neurology 59: 1735–1738.
Krabbe KH (1934) Facial and meningeal angiomatosis associated with calcifications of brain cortex: clinical and anatomopathologic contribution. Arch Neurol Psychiatr 32: 737–755.
Lee S (1990) Psychopathology in Sturge-Weber syndrome. Can J Psychiatr 35: 674–678.
Lee JS, Asano E, Muzik O, Chugani DC, Juhász C, Pfund Z, Philip S, Behen M, Chugani HT (2001) Sturge-Weber syndrome. Correlation between clinical course and FDG PET findings. Neurology 57: 189–195.
Loevner L, Quint DJ (1992) Persistent trigeminal artery in a patient with Sturge-Weber syndrome. Am J Radiol 158: 872–874.
Lund M (1949) On epilepsy in Sturge-Weber disease. Acta Psychiatr Neurol 24: 569–586.
Maria BL, Neufeld JA, Rosainz LC, Ben-David K, Drane WE, Quisling RG, Hamed LM (1998a) High prevalence of bihemispheric structural and functional defects in Sturge-Weber syndrome. J Child Neurol 13: 595–605.
Maria BL, Neufeld JA, Rosainz LC, Drane WE, Quisling RG, Ben-David K, Hamed LM (1998b) Central nervous system structure and function in Sturge-Weber syndrome. Evidence of neurologic and radiologic progression. J Child Neurol 13: 606–618.
Nguyen CM, Yohn JJ, Huft C (1998) Facial port-wine stains in childhood: prediction of the rate of improvement as a function of the age of the patient size and location of the port-wine stain and the number of treatments with the pulsed dye (585 mm). Br J Dermatol 138: 821–825.
Oakes WJ (1992) The natural history of patients with Sturge-Weber syndrome. Pediatr Neurosurg 18: 287–290.
Ogunmekan AO, Hwang PA, Hoffmann HJ (1989) Sturge-Weber-Dimitri disease. Role of hemispherectomy in prognosis. Can J Neurol Sci 16: 78–80.
Parsa CF (2008) Sturge-Weber syndrome: a unified pathophysiologic mechanism. Curr Treat Options Neurol 10: 47–54.
Pascual-Castroviejo I (2004) Cutaneous hemangiomas: vascular anomaly complex. In: Roach ES, Miller VS (eds.) Neurocutaneous Disorders. Cambridge: Cambridge University Press, pp. 172–178.
Pascual-Castroviejo I, Roche Herrero MC, Lopez-Terradas JM, Lopez-Martìn V (1978) Sindrome de Sturge-Weber. Hallazgos en 22 casos infantiles. An Pediatr (Spain) 11: 281–294.
Pascual-Castroviejo I, Diaz-Gonzalez C, García-Melian RM, Gonzalez-Casado I, Mufioz-Hiraldo E (1993) Sturge-Weber sindrome: Study of 40 patients. Pediatric Neurol 9: 220–222.
Pascual-Castroviejo I, Pascual-Pascual SI, Viaño J, Martinez V, Coya J (1995) Sturge-Weber syndrome without facial nevus. Neuropediatrics 26: 220–222.
Pascual-Castroviejo I, Viafio J, Moreno F, Palencia R, Martinez Fernandez V, Pascual-Pascual SI et al. (1996) Hemangiomas of the head, neck, and chest with associated vascular and brain anomalies: A complex neurocutaneous syndrome. Am J Neuroradiol 17: 461–471.
Patrianakos TD, Nagao K, Walton DS (2008) Surgical management of gioma to the Sturge-Weber disdrome. Int Ophthalmol Clin 48: 63–67.
Peterman AF, Hayles AB, Dockerty MB, Love JG (1958) Encephalotrigeminal angiomatosis (Sturge-Weber disease). Clinical study of thirty-five cases. JAMA 167: 2169–2176.
Pfund Z, Kagawa K, Juhász C, Shen C, Lee JS, Chugani DC, Muzik O, Chugani HT (2003) Quantitative analysis of gray—and white—matter volumes and glucose metabolism in Sturge-Weber syndrome. J Child Neurol 18: 119–126.
Polani PE (1952) Encephalotrigeminal angiomatosis (Sturge-Weber syndrome) treated by removal of affected cerebral hemisphere. Proc Roy Soc Med 45: 860–862.
Portilla P, Husson B, Lasjaunias P, Landrieu P (2002) Sturge-Weber disease with repercussion on the prenatal development of the cerebral hemisphere. Am J Neuroradiol 23: 490–492.
Ramli N, Sachet M, Bao C, Lasjaunias P (2003) Cerebrofacial venous metameric syndrome (CVMS) 3: Sturge-Weber syndrome with bilateral lymphatic/venous malformations of the mandible. Neuroradiology 45: 685–690.
Rappaport ZH (1988) Corpus callosum section in the treatment of intractable seizures in the Sturge-Weber syndrome. Childs Nerv Syst 4: 231–232.
Riela AR, Stump DA, Roach ES, McLean WT, Garcìa JC (1985) Regional cerebral blood flow characteristics of the Sturge-Weber syndrome. Pediatr Neurol 1: 85–90.
Roach ES (1988) Diagnosis and management of neurocutaneous syndromes. Surg Neurol 8: 83–96.
Roach ES (1992) Neurocutaneous syndromes. Pediatr Clin N Amer 39: 591–621.
Rosen E (1950) Hemangioma of the choroid. Ophthalmologica 120: 127–148.
Rosen I, Salford L (1984) Sturge-Weber disease—neurophysiological evaluation of a case with secondary epileptogenesis, successfully treated with lobectomy. Neuropediatrics 15: 95–98.
Rosen S, Smoller BR (1987) Port-wine stains: a new hypothesis. K Am Acad Dermatol 17: 164–166.
Schirmer R (1860) Ein Fall von Telangiektasie. Von Graefes Arch Ophth 7: 119–121.
Schnyder UW (1957) Zur klinic and histology der angiome. 4. Mitteilung: Die planotuberösen angiome des Kleinkindes. Arch Klin Exp Dermatol 204: 457–471.
Shuper A, Merlob P, Garty B, Varsano I (1984) Familial multiple naevi flammei. J Med Genet 21: 112–113.
Simonati A, Colamaria V, Bricoo A, Dalla Bernardina B, Rizzuto N (1994) Microgyria associated with Sturge-Weber angiomatosis. Child Nerv Syst 10: 392–395.
Smoller BR, Rosen S (1986) Port-wine stains. A disease of altered neural modulation of blood vessels? Arch Dermatol 122: 177–179.
Sperner J, Schmauser I, Bittner R, Henkes H, Bassir C, Sprung C et al. (1990) MR imaging findings in children with Sturge-Weber syndrome. Neuropediatrics 21: 146–152.
Stevenson RF, Thomson HG, Morin JD (1974) Unrecognized ocular problems associated port-wine stain of the face in children. Can Med Assoc J 111: 953–954.
Sturge WA (1879) Case of partial epilepsia apparently due to lesion of one of vasomotor centres of brain. Trans Clin Soc London 12: 162–167.
Sugama S, Yoshimura H, Ashimine K, Eto Y, Maekawa K (1997) Enhanced magnetic resonance imaging of leptomeningeal angiomatosis. Pediatric Neurol 17: 262–265.
Sujansky E, Conradi S (1995) Outcome of Sturge-Weber syndrome in 52 adults. Am J Med Genet 57: 35–45.
Sullivan TJ, Clarke MP, Morin JD (1992) The ocular manifestations of Sturge-Weber syndrome. J Pediatr Opthalmol Strabismus 29: 349–356.
Tallman B, Tan OT, Morelli JG, Piepenbrink J, Stafford TJ, Trainor S et al. (1991). Location of port-wine stains and the likehood of ophthalmic and/or central nervous system complications. Pediatrics 87: 323–327.
Tan OT, Sherwood K, Gilchrest BA (1989) Treatment of children with port-wine stains using the plashlamppulsed tunable dye laser. N Engl J Med 320: 416–421.
Taybi H (1996) Sturge-Weber syndrome. In: Taybi H, Lachman RS (eds.) Radiology of syndromes, metabolic disorders, and skeletal dysplasias. 4th ed. St. Louis: Mosby, pp. 473–476.
Thomas-Sohl KA, Vaslow DF, Maria BL (2004) Sturge-Weber syndrome: a review. Pediatr Neurol 30: 303–310.
Tönnis W, Friedmann G (1964) Roentgenologic and clinical findings in 23 patients with Sturge-Weber disease. Zentralbl Neurochir 25: 1–10.
Van der Hoeve (1937) A fourth type of phakomatosis. Arch Ophthalmol 18: 679–682.
Van der Horst CMAM, van Eijk TGJ, de Borgie CAJM, Koster PHL, Struycken PM, Strackee SD (1999) Hereditary port-wine stains, do they exist? Lasers Med Sci 14: 417–425.
Vogl TJ, Stemmler J, Bergman C, Pfluger T, Egger E, Lissner J (1993) MR and MR angiography of Sturge-Weber syndrome. Am J Neuroradiol 14: 417–425.
Weber FP (1922) Right-sided hemi-hypotrophy resulting from right-sided congenital spastic hemiplegia, with morbid condition of left side of brain, revealed by radiograms. J Neurol Psychopath 2: 134–139.
Weber FP (1929) A note on the association of extensive haemangiomatous nevus of the skin with cerebral (meningeal) haemangioma, especially case of facial vascular naevus with contralateral hemiplegia. Proc Roy Soc Med 22: 431.
Whitschel H, Font RL (1976) Hemangioma of the choroids: A clinopathological study of 71 cases and review of the literature. Surv Ophthalmol 20: 415–431.
Yeakley JW, Woodside M, Fenstermacher MJ (1992) Bilateral neonatal Sturge-Weber-Dimitri disease: CT and MR findings. Am J Neuroradiol 13: 1179–1182.
Yu TW, Liu HM, Lee WT (2007) The correlation between motor impairment and cerebral blood flow on Sturge-Weber syndrome. Eur J Ped Neurol 11: 96–103.
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Pascual-Castroviejo, I., Konez, O., Rocco, C.D., Ruggieri, M. (2008). Sturge-Weber Syndrome. In: Ruggieri, M., Pascual-Castroviejo, I., Di Rocco, C. (eds) Neurocutaneous Disorders Phakomatoses and Hamartoneoplastic Syndromes. Springer, Vienna. https://doi.org/10.1007/978-3-211-69500-5_10
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