Clinicopathological Analysis of Sturge-Weber Syndrome with Focal Cortical Dysplasia FCD IIIc

Fetal Pediatr Pathol. 2023 Aug;42(4):545-556. doi: 10.1080/15513815.2023.2171749. Epub 2023 Feb 3.

Abstract

Objective: To investigate the clinicopathological features of children with Sturge-Weber syndrome and to analyze the correlation between the distribution area of leptomeningeal angiomatosis, the degree of cerebral cortical calcification, and the degree of cerebral atrophy associated with epileptic seizures. Methods: 10 children were diagnosed with SWS with FCD IIIc by histopathology and immunohistochemistry. Spearman correlation analysis was used to calculate the association of SWS with FCD IIIc and seizures in children. Results: The leptomeningeal angiomatosis area was markedly positively correlated with the degree of brain atrophy in 10 children with SWS (r = 0.783, p = 0.007). The distribution of leptomeningeal hemangiomatosis, the degree of cortical calcification, and brain atrophy were not significantly correlated with epilepsy. Conclusion: SWS may be accompanied by FCD IIIc. The more extensive the cerebral lobes of leptomeningeal angiomatosis in SWS, the more pronounced the brain atrophy.

Keywords: Sturge–Weber syndrome; brain atrophy; cortical calcification; epilepsy; leptomeningeal angiomatosis.

MeSH terms

  • Angiomatosis* / complications
  • Angiomatosis* / diagnosis
  • Atrophy / complications
  • Child
  • Epilepsy*
  • Focal Cortical Dysplasia*
  • Humans
  • Seizures / etiology
  • Sturge-Weber Syndrome* / complications
  • Sturge-Weber Syndrome* / diagnosis
  • Sturge-Weber Syndrome* / pathology