Lee Veronica, Girgis Ragy R
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
J Child Neurol. 2025 Aug;40(7):566-574. doi: 10.1177/08830738251329444. Epub 2025 Apr 15.
Sturge-Weber syndrome is a neurocutaneous disorder characterized by leptomeningeal angiomas and facial port-wine stains. Although clinical features such as seizures and glaucoma are well-documented, psychiatric manifestations remain underexplored. This scoping review examines the extant literature to characterize the prevalence, associated comorbidities, contributing factors, and treatment approaches for psychiatric symptoms and disorders in individuals with Sturge-Weber syndrome. Despite variable prevalence rates, individuals with Sturge-Weber syndrome are at elevated risk for psychiatric issues, particularly depression. Anxiety, autism spectrum disorders, psychotic symptoms, and attention-deficit hyperactivity disorder (ADHD) are also frequently identified as significant concerns for individuals with Sturge-Weber syndrome. These observations underscore the importance of recognizing psychiatric vulnerabilities in Sturge-Weber syndrome and integrating mental health evaluation into clinical care. Implications for treatment are discussed. Future, rigorously designed research studies with larger sample sizes are essential to better delineate the prevalence and impact of psychiatric disorders in this population.
斯特奇-韦伯综合征是一种神经皮肤疾病,其特征为软脑膜血管瘤和面部葡萄酒色斑。尽管癫痫发作和青光眼等临床特征已有充分记录,但精神方面的表现仍未得到充分研究。本综述性研究审视了现有文献,以描述斯特奇-韦伯综合征患者精神症状和精神障碍的患病率、相关合并症、影响因素及治疗方法。尽管患病率各不相同,但斯特奇-韦伯综合征患者出现精神问题的风险较高,尤其是抑郁症。焦虑症、自闭症谱系障碍、精神病性症状和注意力缺陷多动障碍(ADHD)也经常被认为是斯特奇-韦伯综合征患者的重大问题。这些观察结果强调了认识到斯特奇-韦伯综合征患者精神脆弱性并将心理健康评估纳入临床护理的重要性。文中讨论了治疗的意义。未来,设计严谨、样本量更大的研究对于更好地描述该人群精神障碍的患病率和影响至关重要。