Radio-pathologic correlation: no pial angioma—subarachnoid varicose network drainage pathway in Sturge–Weber syndrome

Venkatakrishna, Shyam Sunder B.; Viaene, Angela N.; Cerron-Vela, Carmen Rosa; Simsek, Onur; Ghosh, Adarsh; Clifford, Simon M.; Andronikou, Savvas

doi:10.1007/s00381-024-06490-w

Childs Nerv Syst

2024

DOI: 10.1007/s00381-024-06490-w

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Radio-pathologic correlation: no pial angioma—subarachnoid varicose network drainage pathway in Sturge–Weber syndrome

Shyam Sunder B. Venkatakrishna,

Angela N. Viaene,

Carmen Rosa Cerron-Vela

et al.

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2024

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Cited by 2 publications

References 17 publications

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Alternative Venous Pathways: A Potential Key Imaging Feature for Early Diagnosis of Sturge-Weber Syndrome Type 1

Cerron-Vela,

Manteghinejad,

Clifford

et al. 2024

AJNR Am J Neuroradiol

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Alternative Venous Pathways: A Potential Key Imaging Feature for Early Diagnosis of Sturge-Weber Syndrome Type 1

Cerron-Vela,

Manteghinejad,

Clifford

et al. 2024

AJNR Am J Neuroradiol

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A Review of Sturge–Weber Syndrome Brain Involvement, Cannabidiol Treatment and Molecular Pathways

Joslyn,

Truver,

Comi

2024

Molecules

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Sturge–Weber syndrome (SWS) is a rare congenital neurocutaneous disorder typically caused by a somatic mosaic mutation in R183Q GNAQ. At-risk children present at birth with a capillary malformation port-wine birthmark. The primary diagnostic characteristic of the disorder includes leptomeningeal enhancement of the brain, which demonstrates abnormal blood vessels and results in impaired venous drainage and impaired local cerebral perfusion. Impaired cerebral blood flow is complicated by seizures resulting in strokes, hemiparesis and visual field deficits, hormonal deficiencies, behavioral impairments, and intellectual disability. Therefore, anti-seizure medication in combination with low-dose aspirin is a common therapeutic treatment strategy. Recently published data indicate that the underlying mutation in endothelial cells results in the hyperactivation of downstream pathways and impairment of the blood–brain barrier. Cannabidiol (CBD) has been used to treat medically refractory seizures in SWS due to its anti-seizure, anti-inflammatory, and neuroprotective properties. Pilot research suggests that CBD improves cognitive impairment, emotional regulation, and quality of life in patients with SWS. Recent preclinical studies also suggest overlapping molecular pathways in SWS and in CBD, suggesting that CBD may be uniquely effective for SWS brain involvement. This review aims to summarize early data on CBD’s efficacy for preventing and treating epilepsy and neuro-cognitive impairments in patients with SWS, likely molecular pathways impacted, and provide insights for future translational research to improve clinical treatment for patients with SWS.

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Radio-pathologic correlation: no pial angioma—subarachnoid varicose network drainage pathway in Sturge–Weber syndrome

Cited by 2 publications

References 17 publications

Alternative Venous Pathways: A Potential Key Imaging Feature for Early Diagnosis of Sturge-Weber Syndrome Type 1

Alternative Venous Pathways: A Potential Key Imaging Feature for Early Diagnosis of Sturge-Weber Syndrome Type 1

A Review of Sturge–Weber Syndrome Brain Involvement, Cannabidiol Treatment and Molecular Pathways

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