Encephalofacial Angiomatosis, Sturge-Weber disease

Diagnosis:

A combination of clinical findings and imaging

Clinical features:

Skin:

  • Facial nevus ‘port wine stain’ ‘nevus flammeus’, may be absent. In the distribution of trigeminal nerve

Eye:

  • Congenital glaucoma, bupthalmus, cloudy enlarged cornea

Findings on Investigations:

CT:

  • Calcification of the cortex
  • Cortical atrophy

MRI:

  • Venous hemangioma of the meninges in the occiptal region. Underlying cortex gliosis & atrophy.
  • Choroidal angioma

EEG:

  • Early: depression of voltage of the involved area
  • Late: epileptiform abnormalities