J Korean Child Neurol Soc.  2009 May;17(1):90-96.

A Case of Infantile Spasms in Tuberous Sclerosis with Fetal Cardiac Tumors

Affiliations
  • 1Department of Pediatrics, College of Medicine, Soonchunhyang University, Seoul, Korea. essuh@hosp.sch.ac.kr

Abstract

Tuberous sclerosis(TS), a type of neurocutaneous syndrome, is inherited in an autosomal dominant manner. Approximately 60% of children with TS have rhabdomyomas of the heart, and 40% of fetuses in whom rhabdomyomas are detected by a prenatal ultrasonography eventually end up with TS. Therefore, when multiple cardiac rhabdomyomas are detected by a fetal ultrasonography, TS should be suspected and further examination should be considered after birth. Infantile spasms is a common type of seizure among young children with TS. We describe a patient with TS who showed cardiac tumors on a fetal ultrasound. Also, hypomelanotic macules, retinal tumors, brain cortical tubers, nodules in subependymal regions, and infantile spasms was detected after birth.

Keyword

Tuberous sclerosis; Rhabdomyoma; Prenatal ultrasonography; Infantile spasms

MeSH Terms

Brain
Child
Fetus
Heart
Heart Neoplasms
Humans
Infant
Infant, Newborn
Neurocutaneous Syndromes
Parturition
Retinal Neoplasms
Rhabdomyoma
Seizures
Spasms, Infantile
Tuberous Sclerosis
Ultrasonography, Prenatal
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