Presentation
Epilepsy.
Patient Data
innumerable small subependymal nodules (hamartomas) along the wall of the lateral ventricles of high signal to the grey matter on T1, iso-to low signal on T2 and FLAIR with no enhancement on postcontrast sequences. Some of them show a low signal on GE (calcified nodules)
multiple bilateral cortical and subcortical areas of low signal on T1, high signal on T2 and FLAIR with no enhancement on postcontrast sequences in keeping with cortical/subcortical tubers.
tiny cysts in the white matter arround the trigones mainly on the left with surrounding abnormal high signal on FLAIR and T2, representing probably a cystic degeneration
Case Discussion
The clinical presentation and MRI features are most consistent with tuberous sclerosis.
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