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Child 2 is a 10 year-old female, previously healthy and developmentally normal, although she receives extra services in school. She has no dysmorphic features and no birthmarks. She is brought to the emergency room following a 15-minute focal seizure with impaired consciousness during a sleepover at a friend’s house. After the seizure was aborted with ativan, weakness of right side which was involved in the seizure was noted and persisted for several days. Aggressive treatment of seizures in Sturge-Weber syndrome includes:
Child 2 is a 10 year-old female, previously healthy and developmentally normal, although she receives extra services in school. She has no dysmorphic features and no birthmarks. She is brought to the emergency room following a 15-minute focal seizure with impaired consciousness during a sleepover at a friend’s house. After the seizure was aborted with ativan, weakness of right side which was involved in the seizure was noted and persisted for several days. The patient’s seizures have become refractory to multiple anticonvulsants and to low-dose aspirin. Brain involvement is bilateral. Other options for treatment include:
Child 2 is a 10 year-old female, previously healthy and developmentally normal, although she receives extra services in school. She has no dysmorphic features and no birthmarks. She is brought to the emergency room following a 15-minute focal seizure with impaired consciousness during a sleepover at a friend’s house. After the seizure was aborted with ativan, weakness of right side which was involved in the seizure was noted and persisted for several days. Frequent migraines in patients with Sturge-Weber syndrome brain involvement are best treated with:
Child 2 is a 10 year-old female, previously healthy and developmentally normal, although she receives extra services in school. She has no dysmorphic features and no birthmarks. She is brought to the emergency room following a 15-minute focal seizure with impaired consciousness during a sleepover at a friend’s house. After the seizure was aborted with ativan, weakness of right side which was involved in the seizure was noted and persisted for several days. A patient with isolated Sturge-Weber syndrome brain involvement is NOT at high risk for:
Child 2 is a 10 year-old female, previously healthy and developmentally normal, although receiving extra services in school. She has no dysmorphic features and no birthmarks. She is brought to the emergency room following a 15-minute focal seizure with impaired consciousness during a sleepover at a friend’s house. After the seizure was aborted with ativan, weakness of right side which was involved in the seizure was noted and persisted for several days. This child, who does not have a port wine birthmark, but presents with new onset focal seizures should have the following done to exclude Sturge-Weber syndrome:
Child 1 is a 9 month-old male born with a right-sided facial port-wine birthmark on his forehead and both the upper and lower eye lids. He was diagnosed with glaucoma at 6 months of age and was started on two different eye drops to decrease the pressure. He presents to the ER with a history of left hand and foot twitching, with eyes deviated to the left for over 5 minutes. Diastat was given by the parents and phosphenytoin was administered in the ER. Sturge-Weber syndrome is caused by a somatic mutation in the gene GNAQ. This means that which of the following statements are true:
Child 1 is a 9 month-old male born with a right-sided facial port-wine birthmark on his forehead and both the upper and lower eye lids. He was diagnosed with glaucoma at 6 months of age and was started on two different eye drops to decrease the pressure. He presents to the ER with a history of left hand and foot twitching, with eyes deviated to the left for over 5 minutes. Diastat was given by the parents and phosphenytoin was administered in the ER. Sturge-Weber syndrome brain involvement in this infant is diagnosed with:
Child 1 is a 9 month-old male born with a right-sided facial port-wine birthmark on his forehead and both the upper and lower eye lids. He was diagnosed with glaucoma at 6 months of age and was started on two different eye drops to decrease the pressure. He presents to the ER with a history of left hand and foot twitching, with eyes deviated to the left for over 5 minutes. Diastat was given by the parents and phosphenytoin was administered in the ER. In this child with Sturge-Weber syndrome brain involvement, an anticonvulsant should be started:
Child 1 is a 9 month-old male born with a right-sided facial port-wine birthmark on his forehead and both the upper and lower eye lids. He was diagnosed with glaucoma at 6 months of age and was started on two different eye drops to decrease the pressure. He presents to the ER with a history of left hand and foot twitching, with eyes deviated to the left for over 5 minutes. Diastat was given by the parents and phosphenytoin was administered in the ER. Most patients with Sturge-Weber syndrome have:
Child 1 is a 9 month-old male born with a right-sided facial port-wine birthmark on his forehead and both the upper and lower eye lids. He was diagnosed with glaucoma at 6 months of age and was started on two different eye drops to decrease the pressure. He presents to the ER with a history of left hand and foot twitching, and eyes deviated to the left for over 5 minutes. Diastat was given by the parents and phosphenytoin was administered in the ER. The most common presentation of Sturge-Weber syndrome brain involvement is: