Management is based on physical findings and symptoms.
Seizures and seizure-like episodes are managed by a neurologist using anti-seizure medications. In addition, medications such as low-dose aspirin are routinely used. When this approach is unsuccessful, surgical removal of brain lesions is occasionally done.
Early and frequent testing for glaucoma is essential, as it can occur at any age. If untreated, glaucoma can lead to loss of vision. Glaucoma can be treated with eye drops or oral medications. If this is not effective, surgery may be necessary.
Paralysis or weakness is treated with appropriate physical therapy.
Laser therapy with the pulsed-dye laser has been shown to effectively destroy blood vessels without damaging normal skin. Although some port-wine stains treated early in life may recur, if left untreated, they may become thickened, bumpy, and darker purple in adulthood.