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Abstract #28136 Published in IGR 13-1
Recurrent migraine and transient stroke-like episode in child with Sturge-Weber syndrome: A case report
Rho YIJournal of Headache and Pain 2010; 11: S20
The clinical features of the Sturge-Weber syndrome(SWS) Type I include headaches (30 ~ 45%), epilepsy (75-90%), hemiplegia (30%), glaucoma (30%), and mental retardation (50% of patients and 75% of those with seizures). The relationship between headaches, seizure clusters, and stroke-like episodes is related to the pathogenesis of SWS. The risk of stroke in patients with SWS increased because preexisting perfusion and metabolic defects subject them to prolonged phases of oligemia, a characteristic of migraine-induced stroke. We present case of a 9 year-old female with SWS type I, glaucoma, hemiparesis, and normal psychomotor development, who presented recurrent severe migraine and transient stroke-like episodes, separated by complete recovery. She was managed with oxcarbazepine for seizure, amytriptyline for migraine, and aspirin for stroke like episodes without surgical treatment. After one year, she didn't have seizure and stroke like event but does have mild headache (1/month). Her quality of life and hemiparesis was improved. We recommend that it is need aggressively prompt treatment for recurrent seizure,migraine, and strokelike episode.
Y.I. Rho. Pediatrics, School of Medicine, Chosun University, Gwangju, South Korea.
Classification:
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
