Tuberous sclerosis

Case contributed by Dr Heba Mohamed

Presentation

Under investigation for seizures.

Patient Data

Age: 7
Gender: Female
Modality: CT

Multiple calcified nodules in the sub-ependymal regions as well as in the region of foramen of Monro.

Multiple low density subcortical areas consistent with cortical tubers.

Modality: Annotated image

Annotations of subcortical hypoattenuating regions consistent with possible cortical tubers.

Case Discussion

Axial CT images may point to tuberous sclerosis with calcified subependymal and foramen of Monro nodules as well as hypoattenuating cortical tubers.

The main differential diagnosis is congenital CMV infection, however the absence of brain atrophy as well as normal head circumference reduces that possibility.

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Case Information

rID: 48774
Case created: 23rd Oct 2016
Last edited: 26th Oct 2016
Inclusion in quiz mode: Included

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