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Tuberous sclerosis

Case contributed by Dr Eslam Taha

Presentation

History of seizures and abdominal pain

Patient Data

Age: 10 years
Gender: Female
CT

Brain

Multiple bilateral subependymal calcified nodules are seen along the margins of both lateral ventricles.

Multiple bilateral scattered cerebral subcortical white matter low-density lesions, one of them (at right high frontal region) shows faint calcific focus in non-contrast phase. No significant post-contrast enhancement could be detected.

CT

Abdomen and pelvis

A well defined left renal lower pole heterogeneously enhancing lesion is seen abutting the left lower calyx.

Multiple small bilateral renal cortical cysts & tiny foci of fat density with no significant post-contrast enhancement.

No renal stones or backpressure changes. No other detected abnormality.

Case Discussion

The constellations of findings are impressive of tuberous sclerosis with cerebral subependymal calcified nodules, subcortical tubers, bilateral renal cysts and angiomyolipomas.

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Case information

rID: 75977
Published: 10th Apr 2020
Last edited: 12th Apr 2020
Inclusion in quiz mode: Included
Institution: Faculty of Medicine Helwan University

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