Tuberous sclerosis
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Presentation
Baby girl with tuberous sclerosis.
Patient Data
Bilateral nonenhancing hypodensities in all cerebral lobes, likely representing cortical tubers.
Hyperdense (undergoing calcification?) subependymal hamartomas in the lateral ventricles.
Peripherally enhancing subependymal giant cell astrocytoma in the frontal horn of the left ventricle.
Bilateral nonenhancing T1 hypointense/T2 hyperintense areas in all cerebral lobes - cortical tubers.
Subependymal hamartomas in the lateral ventricles, isointense to adjacent white matter.
Enhancing subependymal giant cell astrocytoma in the frontal horn of the left ventricle.
Case Discussion
The findings of cortical tubers, subependymal hamartomas, and a subependymal giant cell astrocytoma (SEGA), essentially cinch the diagnosis.
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