A Multidisciplinary Consensus for Clinical Care and Research Needs for Sturge-Weber Syndrome

Alejandro J. De la Torre, Aimee F. Luat, Csaba Juhász, Mai Lan Ho, Davis P. Argersinger, Kara M. Cavuoto, Mabel Enriquez-Algeciras, Stephanie Tikkanen, Paula North, Craig N. Burkhart, Harry T. Chugani, Karen L. Ball, Anna Lecticia Pinto, Jeffrey A. Loeb

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

Background: Sturge-Weber syndrome is a neurocutaneous disorder associated with port-wine birthmark, leptomeningeal capillary malformations, and glaucoma. It is associated with an unpredictable clinical course. Because of its rarity and complexity, many physicians are unaware of the disease and its complications. A major focus moving ahead will be to turn knowledge gaps and unmet needs into new research directions. Methods: On October 1-3, 2017, the Sturge-Weber Foundation assembled clinicians from the Clinical Care Network with patients from the Patient Engagement Network of the Sturge-Weber Foundation to identify our current state of knowledge, knowledge gaps, and unmet needs. Results: One clear unmet need is a need for consensus guidelines on care and surveillance. It was strongly recommended that patients be followed by multidisciplinary clinical teams with life-long follow-up for children and adults to monitor disease progression in the skin, eye, and brain. Standardized neuroimaging modalities at specified time points are needed together with a stronger clinicopathologic understanding. Uniform tissue banking and clinical data acquisition strategies are needed with cross-center, longitudinal studies that will set the stage for new clinical trials. A better understanding of the pathogenic roles of cerebral calcifications and stroke-like symptoms is a clear unmet need with potentially devastating consequences. Conclusions: Biomarkers capable of predicting disease progression will be needed to advance new therapeutic strategies. Importantly, how to deal with the emotional and psychological effects of Sturge-Weber syndrome and its impact on quality of life is a clear unmet need.

Original languageEnglish (US)
Pages (from-to)11-20
Number of pages10
JournalPediatric Neurology
Volume84
DOIs
StatePublished - Jul 2018

Keywords

  • Consensus statement
  • Imaging
  • Sturge-Weber syndrome
  • Treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Developmental Neuroscience
  • Clinical Neurology

Fingerprint Dive into the research topics of 'A Multidisciplinary Consensus for Clinical Care and Research Needs for Sturge-Weber Syndrome'. Together they form a unique fingerprint.

  • Cite this

    De la Torre, A. J., Luat, A. F., Juhász, C., Ho, M. L., Argersinger, D. P., Cavuoto, K. M., Enriquez-Algeciras, M., Tikkanen, S., North, P., Burkhart, C. N., Chugani, H. T., Ball, K. L., Pinto, A. L., & Loeb, J. A. (2018). A Multidisciplinary Consensus for Clinical Care and Research Needs for Sturge-Weber Syndrome. Pediatric Neurology, 84, 11-20. https://doi.org/10.1016/j.pediatrneurol.2018.04.005