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成人期新发癫痫导致斯-韦综合征延迟诊断:一例报告

New Onset of Seizures Leading to the Delayed Diagnosis of Sturge-Weber Syndrome in Adulthood: A Case Report.

作者信息

Idris Mumin, Bhagchandani Muskaan, Kumar Kiran, Ibrahim Elmunzer A

机构信息

Internal Medicine, Thumbay University Hospital, Ajman, ARE.

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2025 Jul 26;17(7):e88825. doi: 10.7759/cureus.88825. eCollection 2025 Jul.

Abstract

Sturge-Weber syndrome (SWS), also called encephalotrigeminal angiomatosis, is a congenital neurocutaneous disorder. It is characterized by facial and leptomeningeal angiomas as well as neurologic symptoms such as seizures and learning disabilities. We report a case of a 31-year-old male patient who presented with a history consistent with focal seizures. He was found to have a cutaneous angioma (port-wine stain) in the left temporoparietal region. CT brain revealed characteristic curvilinear calcification in the left tempoparietal cortex. The lack of tonic-clonic seizures and the pattern of his port-wine stain may have possibly delayed the diagnosis well into adulthood.

摘要

斯特奇-韦伯综合征(SWS),也称为脑三叉神经血管瘤病,是一种先天性神经皮肤疾病。其特征为面部和软脑膜血管瘤以及癫痫发作和学习障碍等神经系统症状。我们报告一例31岁男性患者,其病史符合局灶性癫痫发作。发现他在左颞顶区域有一个皮肤血管瘤(葡萄酒色斑)。脑部CT显示左颞顶叶皮质有特征性的曲线状钙化。缺乏强直阵挛性发作以及他葡萄酒色斑的形态可能导致诊断延迟至成年期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6aa/12377925/b25494024a51/cureus-0017-00000088825-i01.jpg

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