Tuberous sclerosis

Case contributed by Dr Mohamed Abdel-Tawab Mohamed

Presentation

Repeated attacks of convulsions. Multiple depigmented skin lesions.

Patient Data

Age: 6 months
Gender: Female
CT
  • bilateral peri-ventricular subependymal foci of calcification
  • bilateral cortical and subcortical hyperdense lesions

Case Discussion

In this case, tuberous sclerosis is highly suggested with multiple cortical calcified tubers.

Cortical tubers and most CNS manifestations of tuberous sclerosis are best demonstrated on MRI. 50-90% will be found in the frontal lobes 1.

On CT, they are seen as areas of calcification, although this is more commonly demonstrated as subependymal nodules.

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Case information

rID: 57287
Published: 16th Dec 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Assiut University

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