Introduction: Sturge-Weber Syndrome also called Encephalotrigeminal Angiomatosis is a rare neurocutaneous syndrome. This case involves a possible complication of excessive intra-operative bleeding. Preoperative angiography for such patients is discussed in this case report. A 20-year-old girl with Sturge-Weber syndrome had to undergo multiple tooth extractions and scaling. Haemangiomas affected the left side of her face and involved the mucosa on the inside of the oral cavity, posterior gingiva and the soft palate on the left hand side. Objectives: Surgical management of such patients may be challenging due to the risk of haemorrhage. The purpose of this case report is to discuss the importance of preoperative angiography in such patients for oral surgery procedures. Materials & Methods: We admitted the patient to the Maxillofacial and Oral surgery ward in order to follow the surgical protocol. This includes a complete diagnostic work-up, Complete Blood Count, Complete Urine Examination, AP Skull,'s, Pantomogram and preoperative angiogram. Discussion: Specific problems need to be kept in mind when treating a patient with Sturge- Weber Syndrome. Appropriate medical precautions and a thorough diagnostic work-up is helpful in preventing any potential emergencies. The oral findings related to SWS have varied from one report to another. Intraoral involvement results in hypervascular changes to the ipsilateral mucosa. Results: The patient tolerated the surgical procedure well, and the postoperative course was uneventful. The patient was discharged from hospital the next day. Conclusion: Angiography remains the gold standard to evaluate the vasculature. Diagnostic and interventional angiography assists the maxillofacial surgeon in the diagnosis and delineation of uncontrolled haemorrhage and vascular tumors in the maxillofacial region. Employing a series of imaging techniques facilitates the safe and effective treatment of hypervascular oral lesions haemorrhage and vascular tumors in the maxillofacial region. |