SGCA in tuberous sclerosis

Case contributed by Dr Paresh K Desai

Presentation

Headache.

Patient Data

Age: 23
CT

CT reveals a solitary calcified subependymal lesion on right side and a hyperdense lesion at the foramen of Monro on left side.

Case Discussion

Patient was being treated for seizure disorder and also had cutaneous manifestations of Tuberous Sclerosis

There was h/o focal seizures in childhood. The patient also had Shagreen patches and adenoma sebaceum.  MRI done subsequently showed additional cortical tubers.

SGCA is the second most common manifestation of tuberous sclerosis (TS). First being tubers. It affects 5% of patients. The foramen of Monroe is the classic location. Some of the subependymal nodules themselves can transform into SGCA over a period of time.

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Case information

rID: 5883
Case created: 26th Mar 2009
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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