Publication:

Refractory focal epilepsy in a child with Sturge–Weber syndrome: a case report

Sturge–Weber syndrome (SWS) is a rare neurocutaneous disorder characterized by leptomeningeal angiomatosis, glaucoma, and port-wine nevus, frequently associated with refractory epilepsy and developmental delay. We report a 2-year-3-month-old boy with known SWS who presented with breakthrough focal motor seizures despite polytherapy. Clinical assessment revealed focal neurological deficits and global developmental delay. Neuroimaging demonstrated left cerebral atrophy with serpentine calcifications and choroid plexus enlargement consistent with SWS. Antiepileptic therapy optimization achieved seizure control, and the patient was discharged with neuro rehabilitation support. This case highlights the course of epilepsy in SWS, management challenges, and need for long-term multidisciplinary care.