Case Report

Unmasking Sturge-Weber Syndrome: A Challenging Case of Refractory Seizures, Facial Angiomas, and Glaucoma in a Young Patient

Saeed Ur Rehman
Department of Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
Ahsen Shah
Department of Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
Majid Rashid
Department of Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
Kamran Saeed
Department of Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
Saad Ali
Department of Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan

✉ Correspondence: Majid Rashid Email: kmciteadventurers@gmail.com

DOI https://doi.org/10.70302/jpsim.v6i2.2537
Volume: 6, Issue 2 Pages: 194–196 Published: 05 Jun 2025
Received: 08 Oct 2024 Revised: 10 Dec 2024 Accepted: 08 May 2025 Published Online: 05 Jun 2025

Abstract

Sturge-Weber Syndrome (SWS) is a rare congenital neurocutaneous disorder associated with a port-wine stain, leptomeningeal angioma, and glaucoma. Here, we present a case of a 16-year-old boy with classical SWS who had a history of seizures since 6 months of age, intellectual disability, and glaucoma. Imaging revealed prominent leptomeningeal enhancement affecting the right temporal and occipital. The patient received intravenous anti-epileptic medication, antibiotics, and regular follow-up was scheduled. Early detection and treatment are critical to prevent ophthalmic and cerebral complications. The management of SWS requires a multidisciplinary approach.

Keywords
Sturge-Weber Syndrome Refractory Seizures Facial Angiomas Glaucoma

How to Cite This Article

Rehman SU, Shah A, Rashid M, Saeed K, Ali S. Unmasking Sturge-Weber Syndrome: A Challenging Case of Refractory Seizures, Facial Angiomas, and Glaucoma in a Young Patient. J Pak Soc Intern Med. 2025;6(2):194–196. doi:10.70302/jpsim.v6i2.2537

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

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Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2025 Journal of Pakistan Society of Internal Medicine.
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