Maruani Annabel
Service de dermatologie, hôpital Trousseau, CHRU de Tours, université François-Rabelais Tours, 37044 Tours cedex, France.
Presse Med. 2010 Apr;39(4):482-6. doi: 10.1016/j.lpm.2009.07.030. Epub 2010 Mar 10.
Facial port-wine stains are capillary malformations, which can reveal, very rarely, Sturge-Weber syndrome (SWS). SWS is a severe neurocutaneous syndrome, which involves a facial port-wine stain reaching the first branch of trigeminal nerve (V1), ophthalmologic abnormalities (especially congenital glaucoma) and neurologic signs (seizure, mental retardation, hemiparesis). Neuroimaging (CT-scan/angio-magnetic resonance imaging [MRI]) provides the diagnosis of SWS, when it shows ipsilateral leptomeningeal angioma; the best age to perform the exam is not established. Extension to superior eyelid, to other territories of trigeminal nerve (V2, V3) or to the contralateral hemiface is statistically associated to SWS. When a new-born has a facial port-wine stain reaching V1, ophthalmologic examination must be performed in the first months of life, as well as neuroimaging (at the age of 6-12 months, earlier in case of neurologic signs); a treatment of the port-wine stain by pulsed dye laser must also be considered.
面部葡萄酒色斑是一种毛细血管畸形,极少数情况下可提示存在斯特奇-韦伯综合征(SWS)。SWS是一种严重的神经皮肤综合征,包括累及三叉神经第一支(V1)的面部葡萄酒色斑、眼科异常(尤其是先天性青光眼)以及神经系统体征(癫痫、智力发育迟缓、偏瘫)。当神经影像学检查(CT扫描/血管磁共振成像[MRI])显示同侧软脑膜血管瘤时,可诊断SWS,但最佳检查年龄尚未确定。葡萄酒色斑延伸至上眼睑、三叉神经其他区域(V2、V3)或对侧半侧面部与SWS在统计学上相关。当新生儿面部葡萄酒色斑累及V1时,必须在出生后的头几个月进行眼科检查以及神经影像学检查(6至12个月龄时进行,如有神经系统体征则提前检查);还应考虑使用脉冲染料激光对面部葡萄酒色斑进行治疗。