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

Publication date: Available online 18 April 2018
Source:Pediatric Neurology
Author(s): Alejandro J. De la Torre, Aimee F. Luat, Csaba Juhász, Ho Mai Lan, 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
Background and RationaleSturge-Weber syndrome (SWS) is a neurocutaneous disorder associated with port wine birthmark, leptomeningeal capillary malformations, and glaucoma. It is associated with an unpredictable clinical course. Due to 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.MethodsOn October 1 to 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 and ConclusionsOne 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 clinicopathological 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. 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 SWS and its impact on quality of life is a clear unmet need.



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