%0 Journal Article
%T 无面部血管瘤的Sturge-Weber综合征一例
%A 张亚男
%A 赖晓晖
%A 何俐
%J 华西医学
%P 671-673
%D 2011
%X 【】　目的　分析无面部血管瘤的Sturge-Weber综合征（SWS）的临床特点。　方法　2008年10月收治1例女性患儿，8岁，因发作性四肢强直入院，患儿无面部血管瘤及眼部异常，仅表现为癫痫。患儿接受丙戊酸钠抗癫痫治疗。　结果　患儿经头部CT、MRI确诊为无面部血管瘤的SWS。抗癫痫治疗后随访12个月，未再发癫痫，智力发育无减退，未出现瘫痪、蛛网膜下腔出血、脑出血、脑卒中样发作等。　结论　无面部血管瘤的SWS确诊依靠头部CT及MRI，治疗方法为药物抗癫痫治疗。复习文献得出无面部血管瘤的SWS患者临床表现不同于有面部血管瘤者，多仅表现出癫痫发作，且药物治疗有效，无需手术切除病灶，预后较好。【Abstract】　Objective　ToanalyzetheclinicalfeaturesofSturge-Webersyndromewithoutfacialhemangioma.　Methods　Oneeight-year-oldgirlwasadmittedtothehospitalfortonicseizureinOctober2008.Thephysicalexaminationresultswerenormalwithneitherfacialhemangiomanorocularabnormalities.Theonlymanifestationofthepatientwasepilepsy.Thepatientwastreatedwithsodiumvalproate.　Results　AccordingtocranialCTandMRIresults,thepatientwasconsideredtohaveSturge-Webersyndromewithoutfacialhemangioma.Thepatientwastreatedwithanticonvulsantdrugsandexperiencednorecurrenceoftheseizuresoranymanifestationsofmentalretardation,hemiplegia,subarachnoidhemorrhage,cerebralhemorrhage,stroke-likeepisodesormigraineduringthefollowing12monthsoffollow-up.　Conclusion　Intheabsenceoffacialhemangioma,thediagnosiscanbebasedoncranialCTandMRI.Sturge-Webersyndromepatientswithoutfacialhemangiomaarehelpedbyanticonvulsantdrugs.Accordingtothiscaseandthereportsofliterature,mostpatientswithoutfacialhemangiomaonlymanifestepilepsywhichcanbetreatedeffectivelywithantiepilepticdrugsandsuchpatientshaveagoodprognosiswithoutoperation,whichisdifferentfromthosewithfacialhemangioma.
%K Sturge-Weber综合征
%K 面部血管瘤
%K 癫痫
%U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201105009