Limits...
Tuberous sclerosis

Shigemasa MS - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Tuberous sclerosis

History: 14 y/o girl with history of intractable complex partial seizures beginning at 5 months of age. Otherwise in good general health requiring no hospitalizations or surgeries. She uses a vagal nerve stimulator (VNS) which is set at a maximum level and is maintained on a ketogenic diet which have helped to control seizure activity. She has no recent history of cardiac, renal, or pulmonary difficulties. Current medications include: Jolivette tablet (progesterone), Keppra, Mysoline, Lamictal, Clonazepam, Diazepam, and Diastat.

Findings: MRI T2 axial and coronal showing multiple cortical lesions - high signal and mixed signal intensities. MRI T1 axial showing subependymal calcifications/nodules in the lateral ventricles. FDG shows abnormal cerebral glucose metabolism is evident where there are multiple areas of hypometabolism in the regions of the cortical tubers. AMT PET scan: The region adjacent to tuber #7 in the left frontal cortex shown in planes 13, 14, and 15 has increased AMT uptake.

Ddx: • Migration disorder • Subependymal gray matter heterotopia • Multiple Gliomas • Cortical tubers

Dxhow: Imaging Diagnosis that included: MRI, video EEG, CT (T1 and T2), FDG, AMT PET scan

Exam: BP 122/49 HR 88 Wt 50.2kg Ht 154.8cm Heart: regular rhythym and rate Lungs: clear to auscultation bilaterally

No MeSH data available.


© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX2187&req=5


Tuberous sclerosis

Shigemasa MS - MedPix (2006)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2187&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Tuberous sclerosis

History: 14 y/o girl with history of intractable complex partial seizures beginning at 5 months of age. Otherwise in good general health requiring no hospitalizations or surgeries. She uses a vagal nerve stimulator (VNS) which is set at a maximum level and is maintained on a ketogenic diet which have helped to control seizure activity. She has no recent history of cardiac, renal, or pulmonary difficulties. Current medications include: Jolivette tablet (progesterone), Keppra, Mysoline, Lamictal, Clonazepam, Diazepam, and Diastat.

Findings: MRI T2 axial and coronal showing multiple cortical lesions - high signal and mixed signal intensities. MRI T1 axial showing subependymal calcifications/nodules in the lateral ventricles. FDG shows abnormal cerebral glucose metabolism is evident where there are multiple areas of hypometabolism in the regions of the cortical tubers. AMT PET scan: The region adjacent to tuber #7 in the left frontal cortex shown in planes 13, 14, and 15 has increased AMT uptake.

Ddx: • Migration disorder • Subependymal gray matter heterotopia • Multiple Gliomas • Cortical tubers

Dxhow: Imaging Diagnosis that included: MRI, video EEG, CT (T1 and T2), FDG, AMT PET scan

Exam: BP 122/49 HR 88 Wt 50.2kg Ht 154.8cm Heart: regular rhythym and rate Lungs: clear to auscultation bilaterally

No MeSH data available.