Sturge-Weber syndrome

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Left hemiparesis with right port wine stain.

Patient Data

Age: 15 years
Gender: Male
mri
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Axial
T1
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FLAIR
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Axial
T2
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Coronal
T2
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Axial
Gradient Echo
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Axial
T1 C+
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Sagittal T1
C+ fat sat
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Coronal
T1 C+
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Axial T2
FLAIR FS C+
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Axial
DWI
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Axial
ADC
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Info

The MRI demonstrate:

  • volume loss of the right hemisphere
  • subcortical calcification well-visualized on GE as regions of signal drop out
  • prominent leptomeningeal enhancement in the right frontal and ocipitoparietal regions
  • ipsilateral calvarial enlargement with dilated intradiploic veins
  • enlarged ipsilateral choroid plexus
  • dilatation of transparenchymal veins
  • ipsilateral orbital choroidal thickening with enhancement in keeping with a choroidal hemangioma
  • ipsilateral falcine displacement

Case Discussion

The clinical presentation and the MRI features are most consistent with Sturge-Weber syndrome.

 

Additional contributor: Bilel Bourahla, MD CHU Constantine

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