Rehabilitation Management of A Child with Atypical Case of Sturge Weber Syndrome

Abstract

Sturge-Weber syndrome (SWS) is a capillary-venous malformation affecting the brain, the eye, and the adjacent trigeminal dermatomes of the skin or a facial port wine stain or nevus. Type 3 SWS is a form of disease that comes without the physical facial angioma that made the disease undiagnosed and untreated optimally. We report a case of a 6-year-old girl with history of seizures without fever since she was 13 months old. The seizure was repeated couple times within a month and a year afterwards, but relatively controlled with routine oral medications, with last seizure attack was when she was 4 years 8 months old.  Unluckily, by the age of 6 and 3 months old, she was brought to the emergency department due to sudden focal seizure and weakness on her right extemities. The enhanced MSCT angio and brain MRI examination revealed the abnormality of the cerebral angiography, and raised the diagnostic of Sturge-Weber syndrome. After several medical treatment and rehabilitation programs, her gross motor ability and balance was getting much improved with some dysfunction on fine motor ability on her right hands and little difficulties on her basic speech. There was also some disturbance of her cognitive skill since she seemed to have a slower memory recall and speed processing after the latest seizure attack.