Sturge Weber Syndrome – Roach’s Type II Variant

Sturge-Weber syndrome (SWS) is a neurocutaneous sporadic disorder caused by mutation in GNAQ gene responsible for persistence of vascular plexus around cephalic portion of neural tube. It has a wide spectrum of cutaneous, neurologic and ophthalmic manifestations, which may or may not be associated...

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Main Authors: Muna Bista, Sudha Agrawal, Sweta Taparia
Format: Article
Language:English
Published: Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON) 2020-10-01
Series:Nepal Journal of Dermatology, Venereology & Leprology
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Online Access:https://nepjol.info/index.php/NJDVL/article/view/30316
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author Muna Bista
Sudha Agrawal
Sweta Taparia
author_facet Muna Bista
Sudha Agrawal
Sweta Taparia
author_sort Muna Bista
collection DOAJ
description Sturge-Weber syndrome (SWS) is a neurocutaneous sporadic disorder caused by mutation in GNAQ gene responsible for persistence of vascular plexus around cephalic portion of neural tube. It has a wide spectrum of cutaneous, neurologic and ophthalmic manifestations, which may or may not be associated with one another. Roach scale has classified it into three types. Here, we present a case of Roach’s Type II variant of SWS with Port-wine stain (PWS) and ocular abnormalities without Central Nervous System (CNS) involvement. A 24 months old female presented with hemangioma involving the left side of face since birth. She had history of corneal edema and buphthalmos at two days of life. There was no history of seizure or developmental delay and Magnetic Resonance Imaging (MRI) of the head ruled out cranial hemangioma. Roach’s Type II is a rare variant of SWS and should be suspected in any case having PWS along the course of trigeminal nerve with congenital glaucoma because the neurologic involvement in a given case may vary from an absence to overt clinical manifestations with or without radiological changes. Due to its wide range of manifestations, a multidisciplinary approach is required for proper management of these patients.
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institution Kabale University
issn 2091-0231
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language English
publishDate 2020-10-01
publisher Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)
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series Nepal Journal of Dermatology, Venereology & Leprology
spelling doaj-art-999fd5a82b864c2cbe4e8588e25ac33f2025-08-24T10:06:09ZengSociety of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)Nepal Journal of Dermatology, Venereology & Leprology2091-02312091-167X2020-10-01181Sturge Weber Syndrome – Roach’s Type II VariantMuna Bista0Sudha Agrawal1Sweta Taparia2B.P. Koirala Institute of Health SciencesB.P. Koirala Institute of Health Sciences, DharanTaparia Eye Care Pvt Ltd, Biratnagar Sturge-Weber syndrome (SWS) is a neurocutaneous sporadic disorder caused by mutation in GNAQ gene responsible for persistence of vascular plexus around cephalic portion of neural tube. It has a wide spectrum of cutaneous, neurologic and ophthalmic manifestations, which may or may not be associated with one another. Roach scale has classified it into three types. Here, we present a case of Roach’s Type II variant of SWS with Port-wine stain (PWS) and ocular abnormalities without Central Nervous System (CNS) involvement. A 24 months old female presented with hemangioma involving the left side of face since birth. She had history of corneal edema and buphthalmos at two days of life. There was no history of seizure or developmental delay and Magnetic Resonance Imaging (MRI) of the head ruled out cranial hemangioma. Roach’s Type II is a rare variant of SWS and should be suspected in any case having PWS along the course of trigeminal nerve with congenital glaucoma because the neurologic involvement in a given case may vary from an absence to overt clinical manifestations with or without radiological changes. Due to its wide range of manifestations, a multidisciplinary approach is required for proper management of these patients. https://nepjol.info/index.php/NJDVL/article/view/30316Neural TubeNeurocutaneous SyndromesPort-Wine StainSturge-Weber Syndrome
spellingShingle Muna Bista
Sudha Agrawal
Sweta Taparia
Sturge Weber Syndrome – Roach’s Type II Variant
Nepal Journal of Dermatology, Venereology & Leprology
Neural Tube
Neurocutaneous Syndromes
Port-Wine Stain
Sturge-Weber Syndrome
title Sturge Weber Syndrome – Roach’s Type II Variant
title_full Sturge Weber Syndrome – Roach’s Type II Variant
title_fullStr Sturge Weber Syndrome – Roach’s Type II Variant
title_full_unstemmed Sturge Weber Syndrome – Roach’s Type II Variant
title_short Sturge Weber Syndrome – Roach’s Type II Variant
title_sort sturge weber syndrome roach s type ii variant
topic Neural Tube
Neurocutaneous Syndromes
Port-Wine Stain
Sturge-Weber Syndrome
url https://nepjol.info/index.php/NJDVL/article/view/30316
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AT sudhaagrawal sturgewebersyndromeroachstypeiivariant
AT swetataparia sturgewebersyndromeroachstypeiivariant