Tuberous Sclerosis Complex – a Multidisciplinary Conundrum: Case Reports

Autor: Antonia LEFTER, Delia TULBA, Cristina MITU, Adela DANAU, Iulia OLARU, Daniela NESTOR, Bogdan Ovidiu POPESCU
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Modern Medicine, Vol 27, Iss 2, Pp 113-117 (2020)
Druh dokumentu: article
ISSN: 1223-0472
2360-2473
54499437
DOI: 10.31689/rmm.2020.27.2.113
Popis: Introduction: Tuberous sclerosis complex (TSC) is a genetic disorder with a heterogenous clinical phenotype, with possible involvement of virtually any organ. Although recent advancement in genetics has allowed a better understanding of the pathophysiology of TSC, enabling a genetic diagnosis, TSC is primarily diagnosed on clinical grounds. Neurological manifestations amount to over 90% of people with TSC. Ensuing surveillance and treatment of TSC imply a multidisciplinary team of specialists. Case reports: We report 2 cases of TSC, both admitted to our Neurology Department on account of poor seizure control. One was diagnosed early in his infancy having a typical onset with infantile spasms and subsequent generalised seizures whereas the other was diagnosed with TSC in our department, at 56 years of age. They both also have skin and renal involvement as major clinical features. Conclusion: Recognition of the clinical hallmarks of TSC, albeit variable, is important for early diagnosis and subsequent multidisciplinary management. Neurological involvement, as illustrated in our case reports, is frequent and is largely responsible for morbidity and mortality in TSC.
Databáze: Directory of Open Access Journals