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Journal of Child Neurology
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Left-Sided Facial Nevus With Contralateral Leptomeningeal Angiomatosis in a Child With Sturge-Weber Syndrome: Case Report

Peter Widdess-Walsh

Department of Neurology Cleveland Clinic Foundation Cleveland, Ohio

Neil Roy Friedman

Department of Neurology Cleveland Clinic Foundation Cleveland, Ohio, friedmn{at}ccf.org.

Sturge-Weber syndrome is characterized by a facial vascular nevus associated with an ipsilateral leptomeningeal angioma. Variants of this classical presentation have been described in the literature, some of which have prognostic significance. We report a magnetic resonance imaging (MRI)-confirmed variant of a leptomeningeal angioma contralateral to the facial nevus. We describe one patient with Sturge-Weber syndrome who presented with a left-sided facial nevus, left eye glaucoma, episodes of left-sided weak-ness, and right-sided leptomeningeal angiomatosis by gadolinium-enhanced brain MRI. The literature regarding variants of Sturge-Weber syndrome and their prognosis is reviewed. The prognosis for this variant is likely similar to Sturge-Weber syndrome with an ipsilateral leptomeningeal angioma. ( J Child Neurol 2003;18:304—305).

Journal of Child Neurology, Vol. 18, No. 4, 304-305 (2003)
DOI: 10.1177/08830738030180040301
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