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Review
. 2023 Nov 27;37(1):80-83.
doi: 10.1515/jpem-2023-0408. Print 2024 Jan 29.

Hypothalamic-pituitary dysfunction in Sturge-Weber syndrome: case report and review of the literature

Somar A Hadid  1 , Laila Noor  2 , Tamar Baer  3 , Ronald I Jacobson  1   4 , Erika Brutsaert  1   5
Affiliations
Review

Hypothalamic-pituitary dysfunction in Sturge-Weber syndrome: case report and review of the literature

Somar A Hadid et al. J Pediatr Endocrinol Metab. .

Abstract

Objectives: Sturge-Weber syndrome (SWS) is a rare neurocutaneous disorder that is characterized by a segmental dermatomal facial port-wine stain birthmark and is frequently accompanied by ipsilateral brain and eye abnormalities. We present a case of a patient with SWS who exhibited hypogonadotropic hypogonadism, growth hormone (GH) deficiency, and central hypothyroidism at the age of 20 despite the absence of radiographic findings in the pituitary and hypothalamus.

Case presentation: A 20-year-old male with SWS with epilepsy and Klippel-Trenaunay syndrome presents with delayed pubertal development, short stature, and obesity. Upon further examination, he was found to have biochemical and clinical evidence of hypogonadism, hypothyroidism, and GH deficiency. A pituitary MRI displayed no abnormalities of the pituitary or hypothalamus. Treatment with testosterone cypionate and levothyroxine was initiated. Despite successful pubertal induction, IGF-1 levels have remained low and treatment with recombinant human growth hormone (rhGH) is now being considered for metabolic benefits.

Conclusions: This case emphasizes the importance of endocrine evaluation and treatment of hormonal deficiencies in patients with SWS despite the absence of radiographic findings.

Keywords: Sturge–Weber syndrome; central hypothyroidism; growth hormone deficiency; hypogonadotropic hypogonadism; hypothalamic-pituitary axis.

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References

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