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斯特奇-韦伯综合征:综述

Sturge-Weber Syndrome: A Review.

作者信息

Higueros E, Roe E, Granell E, Baselga E

机构信息

Servicio de Dermatología, Hospital Santa Creu i Sant Pau, Barcelona, España.

Servicio de Radiología, Hospital Santa Creu i Sant Pau, Barcelona, España.

出版信息

Actas Dermosifiliogr. 2017 Jun;108(5):407-417. doi: 10.1016/j.ad.2016.09.022. Epub 2017 Jan 23.

Abstract

Sturge-Weber syndrome is a sporadic congenital neurocutaneous disorder caused by a somatic activating mutation in GNAQ; it affects 1 in every 20,000 to 50,000 newborns. It is characterized by a facial Port-wine stain, leptomeningeal angiomatosis, and glaucoma. Seizures are the most common neurological manifestation and typically present in the first months of life. Glaucoma may be present at birth or develop later. Neuroimaging studies show leptomeningeal angiomatosis, supporting diagnosis. Standard treatment for Sturge-Weber syndrome includes laser treatment for the Port-wine stain, anticonvulsants, and medical or surgical treatment for the glaucoma. Prognosis depends on the extent of leptomeningeal involvement and the severity of the glaucoma.

摘要

斯特奇-韦伯综合征是一种由GNAQ基因的体细胞激活突变引起的散发性先天性神经皮肤疾病;每20000至50000名新生儿中就有1人受其影响。其特征为面部葡萄酒色斑、软脑膜血管瘤病和青光眼。癫痫发作是最常见的神经学表现,通常在出生后的头几个月出现。青光眼可能在出生时就存在,也可能在之后发生。神经影像学研究显示有软脑膜血管瘤病,有助于诊断。斯特奇-韦伯综合征的标准治疗包括对葡萄酒色斑进行激光治疗、使用抗惊厥药物,以及对青光眼进行药物或手术治疗。预后取决于软脑膜受累的程度和青光眼的严重程度。

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