Tuberous sclerosis

Case contributed by Heba Abdelmonem
Diagnosis almost certain


Seizures, delayed mental milestones and multiple facial fibromas.

Patient Data

Age: 7 years
Gender: Female

Multiple scattered areas of white matter abnormal signal displaying high T2 and FLAIR signal intensity corresponding to cortical tubers associated with multiple small subependymal hamartomas mostly noted at both lateral ventricular bodies. No evidence of a lesion in the region of the foramen of Monro.

Case Discussion

7 years old female with tuberous sclerosis complex presenting with seizures as well as delayed mental milestones. Physical inspection of the patient demonstrates three facial fibromas.

The patient was referred to the MRI unit to assess the neurological manifestation of tuberous sclerosis.

MRI of the brain revealed multiple scattered cortical tubers as well as bilateral subependymal hamartomas. No evidence of signal abnormality at the region of the foramen of Monro to support subependymal giant cell astrocytoma.

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